Berry, Eloise J

Berry, Eloise J is an sole proprietor health care provider with primary practice located at 14 S Bryn Mawr Ave Ste 205 , Bryn Mawr PA 19010-3216. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Berry, Eloise J can be contacted via phone (610) 525-4828.

Contact Information

Primary practice address
14 S Bryn Mawr Ave Ste 205 Bryn Mawr PA 19010-3216
Phone: (610) 525-4828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 35SI00415300 New Jersey
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X SI00415300 New Jersey
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS-018232 Pennsylvania

Profile Details

NPI number 1427028489
LBN Legal business name Berry, Eloise J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Mar 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427028489 NPPES
New Jersey MEDICAID 0060836

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