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Mr. Jody David Berryhill, LAT
Specialist in Longview, Texas
NPI 1902866528

Jody David Berryhill is a Specialist based in Longview, TX. Jody David Berryhill practices in Longview, TX and has the professional credentials of LAT. The NPI Number for Jody David Berryhill is 1902866528 and holds a License No. AT1292 (Texas).

The current practice location address for Jody David Berryhill is 1005 W Fairmont St, Longview, TX and can be reached out via phone at 903-295-5140 and via fax at 903-759-0898.

Location: 1005 W Fairmont St, Longview, TX, 75605-1510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902866528
Provider Name
Jody David Berryhill
Credential
LAT
Provider Entity Type
Individual
Gender
Male
Address
1005 W Fairmont St, Longview, TX, 75605-1510
Phone Number
903-295-5140
Fax Number
903-759-0898
Provider Enumeration Date
03/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1005 W Fairmont St
City
Longview
State
Texas
Zip
75604-3511
Phone Number
903-295-5140
Fax Number
903-759-0898
person
Provider Business Mailing Address Details
Address
1005 W Fairmont St
City
Longview
State
Texas
Zip
75604-3511
Phone Number
903-295-5140
Fax Number
903-759-0898
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AT1292 (Texas)
Definition
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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