Provider Demographics
NPI:1881568400
Name:BERRY, VALERIE MARILYN
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:MARILYN
Last Name:BERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-3005
Mailing Address - Country:US
Mailing Address - Phone:740-550-0854
Mailing Address - Fax:
Practice Address - Street 1:404 FRONT ST
Practice Address - Street 2:
Practice Address - City:PROCTORVILLE
Practice Address - State:OH
Practice Address - Zip Code:45669-3005
Practice Address - Country:US
Practice Address - Phone:740-550-0854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant