Sue Ann Berend, PH.D.
Individual provider Active NPI Ph.D. Medical Genetics · Henrietta, TX
NPI 1043403231 · NPPES record last updated Nov 30, 2022
Key facts
- NPI
- 1043403231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ph.D. Medical Genetics 170100000X
- License
- DI38592 (FL)
- Practice address
- 1471 Raymond Edwards Rd
Henrietta, TX 76365-7297 - Phone
- (505) 690-8357
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI38592 | FL | MD | Ph.D. Medical Genetics |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | DI38592 | FL | Yes |
Addresses
Primary practice location
1471 Raymond Edwards Rd
Henrietta, TX 76365-7297
Mailing address
1471 Raymond Edwards Rd
Henrietta, TX 76365-7297
Phone (505) 690-8357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BERES1 | Other | NY | DEPT. OF HEALTH |
| DI38592 | Other | FL | DEPT. OF HEALTH |
| DRM42 | Other | CA | DEPT. OF HEALTH SERVICES |
Other providers in Henrietta, TX
- Wes Bailey
- Angela Marie Belcher
- Kathy Lynn Benz
- Clay County Hospital DME
- Clay County Memorial Hospital
- Clay County Memorial Hospital
- County of Clay
- County of Clay
All providers in Henrietta, TX · Ph.D. Medical Genetics in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.