MEDICARE: DR. NYREE RENA BERRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YS0200X	School Counselor
3	101Y00000X	Counselor

General Provider Information

NPI Number	:	1386832814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NYREE RENA BERRY

Provider Business Mailing Address
First Line	:	136 W 84TH PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90003-2820
Country	:	US
Telephone Number	:	213-537-3881
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 W 84TH PL
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90003-2820
Country	:	US
Telephone Number	:	213-537-3881
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	03/13/2025

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Directions to “ DR. NYREE RENA BERRY ” Practice Location

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