Berry, Mallory Renae

Berry, Mallory Renae is an sole proprietor health care provider with primary practice located at 3400 N Woods Ln , Rogers AR 72756-6712. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Berry, Mallory Renae can be contacted via phone (479) 636-3190.

Contact Information

Primary practice address
3400 N Woods Ln Rogers AR 72756-6712
Phone: (479) 636-3190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X DDS#609 Arkansas

Profile Details

NPI number 1336493998
LBN Legal business name Berry, Mallory Renae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2012
Last updated Nov 5th, 2012 - about 12 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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