Search › Arkansas › 171M00000X
Jerry Berry, CIT
NPI 1972106706 · on the registry since 2020
Practice
- Address
- 8404 Baseline Rd
Little Rock, AR 72209 - Phone
- (501) 663-0708
- Fax
- (501) 313-4062
- Organisation at this address
- Freshly Renewed Transitional
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas