Sydney J Berg
Individual provider Active NPI Speech-Language Pathologist · Shelbyville, KY
NPI 1336701580 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1336701580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 46003551A (IN)
- Practice address
- 90 Howard Dr
Shelbyville, KY 40065-8138 - Phone
- (502) 633-1007
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46003551A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Pediatric Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46003551A | IN | Yes |
Addresses
Primary practice location
90 Howard Dr
Shelbyville, KY 40065-8138
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Other providers in Shelbyville, KY
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- Michele Beaudet-Miller
- Chelsea Rae Benham
- Wendell Bentley
- Anna Berrill
- Better Together Recovery Center
- Adria Betz
- Donna Lynn Betz
- Lindsey Nicole Bickel
All providers in Shelbyville, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. 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.