KENT BERRY

EXTENDED CARE SPECIALISTS, INC

Dr KENT BERRY is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2012.

Contact

EXTENDED CARE SPECIALISTS, INC

3512 STELLHORN RD
FORT WAYNE
IN
468154631

Tel: 2604839081

KENT BERRY Information

Npi 1730510686
Pac Id 3072822816
Professional Enrollment Id I20151019002009
Last Name BERRY
First Name KENT
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EXTENDED CARE SPECIALISTS, INC
Group Practice Pac Id 2466407713
Number Of Group Practice Members 62
Line 1 Street Address 3512 STELLHORN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FORT WAYNE
State IN
Zip Code 468154631
Phone Number 2604839081
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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