Most Relevant Information
Provider Data
| NPI Number: | 1003516741 |
| Provider Name: | SHANDA BERRY MS, LCGC |
| Entity Type: | Individual |
| Taxonomy Code: | 170300000X |
| Specialty: | Genetic Counselor, MS |
| License Number: | 20513 |
Most Important Dates
| Enumeration Date: | 03/09/2023 |
| Last Updated: | 03/09/2023 |
Provider Practice Location
3025 HAMAKER CT STE 330
FAIRFAX
VA
220312243
Practice Location Phone/Fax
| Phone: | 5712823923 |
| Fax: | 5717304091 |
Provider Mailing Location
3025 HAMAKER CT STE 330
FAIRFAX
VA
220312243
Provider Mailing Phone/Fax
| Phone: | 5712823923 |
| Fax: |