MEDICARE: CLARA MARIE BERRIOS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP22686	CA

General Provider Information

NPI Number	:	1396678892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARA MARIE BERRIOS

Provider Business Mailing Address
First Line	:	26732 SCHREY PL
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91351-6922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 E PONDERA ST
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-3012
Country	:	US
Telephone Number	:	661-942-8487
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ CLARA MARIE BERRIOS ” Practice Location

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