NPI 1689042905 · live from the CMS NPI Registry
Kerri Berard
Speech-Language Pathologist, in Fort Worth, TX. National Provider Identifier 1689042905, active.
NPI record
| NPI | 1689042905 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 100 N University Dr, Fort Worth, TX 76107 |
| Practice phone | 817-814-2000 |
| Enumerated | September 3, 2015 |
| Last updated | May 24, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 115010 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.