Individual provider · NPI-1

Ruth Roma Berg, BA

Speech-Language Pathologist, · Conroe, TX

NPI number1477608495
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1477608495
Entity type
Individual (NPI-1)
Name
Mrs. Ruth Roma Berg
Credential
BA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,10625TXYes

Practice location

704 Longmire Road Suite 101
Beyond Boundaries Therapy Center
Conroe, TX 77304

Phone 936-441-2500

Mailing address

610 Northwood Drive
Conroe, TX 77303

Phone 936-539-4640 · Fax 936-539-1505

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