Most Relevant Information
Provider Data
| NPI Number: | 1003214560 |
| Provider Name: | DANIELLE MARIE BERRY CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146011737 |
Most Important Dates
| Enumeration Date: | 12/16/2014 |
| Last Updated: | 12/16/2014 |
Provider Practice Location
2603 ALTON DR
CHAMPAIGN
IL
618214774
Practice Location Phone/Fax
| Phone: | 8156902608 |
| Fax: |
Provider Mailing Location
2603 ALTON DR
CHAMPAIGN
IL
618214774
Provider Mailing Phone/Fax
| Phone: | 8156902608 |
| Fax: |