NPI 1518346451

Janon Berry

Organisation Preferred Provider Organization Philadelphia, PA

Practice location

Address: 457 van Kirk St, Philadelphia, PA 19120-1120
Phone: (570) 763-9443

Authorised official

Name: Janon Berry
Title: Psychotherapist
Phone: (570) 763-9443

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 37PC00503200 (NJ)

Other Preferred Provider Organization providers in Pennsylvania →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence PC006772 (PA)

Registry record

NPI: 1518346451
Entity type: Organization
NPI issued: 26 May 2015
Record last updated: 26 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.