Berry, Gloria
Berry, Gloria is an individual health care provider with primary practice located at 101 W Muhammad Ali Blvd , Louisville KY 40202-1423. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Berry, Gloria can be contacted via phone (502) 589-8600.Contact Information
Primary practice address
101 W Muhammad Ali Blvd
Louisville KY 40202-1423
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 104384 | Kentucky |
Profile Details
NPI number | 1134250533 |
---|---|
LBN Legal business name | Berry, Gloria |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2007 |
Last updated | Jun 2nd, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134250533 | NPPES |
Kentucky | MEDICAID | 7100287480 |
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