Berry, Sharon Lee

Berry, Sharon Lee is an individual health care provider with primary practice located at Berry Psychological Services 3340 Republic Avenue, Suite 120, St. Louis Park MN 55426-4154. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Berry, Sharon Lee can be contacted via phone (612) 916-5605.

Contact Information

Primary practice address
Berry Psychological Services 3340 Republic Avenue, Suite 120 St. Louis Park MN 55426-4154
Phone: (612) 916-5605
Fax: (612) 813-8263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X MN3625 Minnesota
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP3625 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X MN3625 Minnesota

Profile Details

NPI number 1568457927
LBN Legal business name Berry, Sharon Lee
Credentials PHD, LP, ABPP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Oct 15th, 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 1568457927 NPPES
Minnesota MEDICAID 339214700

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