Individual provider · NPI-1

Gabriel Alfred Berry

Social Worker, Clinical · Woodland Hills, CA

NPI number1942780176
StatusActive
Last updated in NPPESMay 22, 2025

Details

NPI
1942780176
Entity type
Individual (NPI-1)
Name
Gabriel Alfred Berry
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 16, 2018
Certification date
May 22, 2025
Last updated
May 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical127750CAYes

Practice location

5601 De Soto Ave
Woodland Hills, CA 91367-6798

Phone 818-719-2000

Mailing address

5601 De Soto Ave
Woodland Hills, CA 91367-6701

Phone 818-719-2000

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