Individual provider · Type 1 NPI
Teddy Wayne Berry
Mental Health Counselor · Oklahoma City, OK
NPI number
1740590124
Active
Practice location
936 SW 63rd St.
Oklahoma City, OK 73139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1740590124
Teddy Wayne Berry's National Provider Identifier is 1740590124, issued on Oct 19, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Oct 19, 2010.