NPI | 1457579252 |
---|---|
Former Name | DEANENE V BERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00072700) |
Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006035) |
231H00000X Audiologist (Licence: CT 000631) | |
237600000X Audiologist-Hearing Aid Fitter (Licence: CT 00631) | |
237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00109400) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2022-10-26 |