Most Relevant Information
Provider Data
| NPI Number: | 1003341231 |
| Provider Name: | LAUREN MARIE BERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 027914 |
Most Important Dates
| Enumeration Date: | 04/25/2017 |
| Last Updated: | 08/07/2018 |
Provider Practice Location
550 SCRAGGY HILL RD
PORT JEFFERSON
NY
11777
Practice Location Phone/Fax
| Phone: | 6317914500 |
| Fax: |
Provider Mailing Location
80 HALLEY DR
BLUE POINT
NY
117726515
Provider Mailing Phone/Fax
| Phone: | 5162364382 |
| Fax: |