MS. JODY LYNN BERG (NPI# 1811331028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811331028 |
| Entity Type | Individual |
| Full Name | MS. JODY LYNN BERG |
| Credential | MA,CCC,SLP |
| Practice Address |
551 W Lancaster Ave Haverford PA 19041-1419 |
| Mailing Address |
7215 Mccallum St Philadelphia PA 19119-2939 |
| Practice Telephone | 6105259212 |
| Mailing Telephone | 2152485866 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SL002446L | PA | Speech, Language and Hearing Service Providers |
| Street Address |
551 W LANCASTER AVE |
| City | HAVERFORD |
| State | PA |
| Zip Code | 19041-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235118407 | Ildiko Korenyi-both | Internal Medicine | 551 W Lancaster Ave, Suite 205, Haverford, PA 19041-1419 | 2006-01-16 |
| 1053931816 | Domenick Miles | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2020-04-22 |
| 1952873416 | Victoria Drummond | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-12-21 |
| 1659849099 | Anthony Austin Jr. | Behavior Technician | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-11-04 |
| 1841774783 | Conor O'brien Smith | Behavior Technician | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-09-17 |
| 1396222410 | Kenyetta Jean-marie Staton | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2018-07-21 |
| 1376928754 | Lorenzo Alleyne | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-07-27 |
| 1669867255 | Tynesha Cofield | Behavioral Analyst | 551 W Lancaster Ave, 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-04-01 |
| 1518356740 | Caryn Michelle Hurlock | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-01-12 |
| 1093118820 | Nicole Streets | Counselor | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2014-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285172999 | Linda G Tessler | Psychologist | 103 Green Lane, Haverford, PA 19041 | 2017-02-02 |
| 1255626529 | Haverford College Health Services | Registered Nurse | 370 Lancaster Avenue, Haverford, PA 19041 | 2011-06-15 |
| 1316256050 | Deborah Jean Gunton | Psychologist | 349 West Lancaster Avenue, Suite 201, Haverford, PA 19041 | 2010-09-29 |
| 1629390695 | Moira L Kowalczyk | Occupational Therapist | 551 West Lancaster Avenue, Haverford, PA 19041 | 2010-02-18 |
| 1528398724 | John Antoniades | Radiology | 404 Richard Knoll, Haverford, PA 19041 | 2010-01-11 |
| 1215264262 | Robert Frederick Plotkin | Pediatrics | 3300 Darby Rd., Apt 1310, Haverford, PA 19041 | 2009-11-12 |
| 1396984662 | Joel E Wasley | Dentist | 268 West Montgomery Avenue, Haverford, PA 19041 | 2009-02-11 |
| 1538325105 | Joseph Anthony Gwiszcz Jr. | Pediatrics | 600 Haverford Road., Suite 100, Haverford, PA 19041 | 2008-08-04 |
| 1619142262 | Gregory Stephen Wilson | Occupational Therapist | 551 W Lancaster Avenue, Staffing Plus, Haverford, PA 19041 | 2008-04-24 |
| 1972790319 | Lene H Larsen | Psychologist | 349 W. Lancaster Avenue, Suite 103, Haverford, PA 19041 | 2007-10-01 |
| Find all providers in zip 19041 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326336611 | Devin Coen | Speech-Language Pathologist | 551 W Lancaster Ave Ste 400, Haverford, PA 19041-1419 | 2011-07-20 |
| 1649402744 | Marilyn Karen Goldstein | Speech-Language Pathologist | 104 Woodside Rd, Apt. B101, Haverford, PA 19041-1861 | 2009-08-23 |
| 1487619235 | Main Line Speech Consultants, Ltd. | Speech-Language Pathologist | 626 Haverford Rd, Haverford, PA 19041-1102 | 2006-04-17 |
| 1154868198 | Alexandria Zilz | Speech-Language Pathologist | 3300 Darby Rd, Haverford, PA 19041-1061 | 2017-01-29 |
| 1518356740 | Caryn Michelle Hurlock | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2015-01-12 |
| 1871934588 | Christine Ann Chachas | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2013-07-10 |
| 1033555172 | Kristen Michele O'leary | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2013-05-16 |
| 1386087856 | Ashley Anderson | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2013-04-15 |
| 1861731135 | Carissa C Strain | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2013-02-06 |
| 1538435243 | Ellen Frey Wineman | Speech-Language Pathologist | 551 W Lancaster Ave, Haverford, PA 19041-1419 | 2012-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.