Individual provider · Type 1 NPI

Jody David Berryhill, L.A.T.

Specialist · Longview, TX

NPI number 1902866528 Active

Practice location

1005 W Fairmont St
Longview, TX 75604-3511

Call (903) 295-5140 Map

Fax (903) 759-0898

Mailing address

2904 Ruidosa St
Longview, TX 75605-1510

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAT1292 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1902866528

Jody David Berryhill, L.A.T.'s National Provider Identifier is 1902866528, issued on Mar 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Longview, TX. The record was last updated on Jul 13, 2026.