Thomas Robert Berry, PhD
Psychologist, Counseling in Columbia, MO. Individual provider (NPI-1).
NPI number1942004676
StatusActive
Last updated in NPPESApr 2, 2025
Details
- NPI
- 1942004676
- Entity type
- Individual (NPI-1)
- Name
- Thomas Robert Berry
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Apr 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 025009592 | MO | Yes |
Practice location
2600 Forum Blvd Ste GColumbia, MO 65203-6343
Phone 573-239-9915
Mailing address
2600 Forum Blvd Ste GColumbia, MO 65203-6343
Phone 573-239-9915
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