DR. MARY JEANNE BERRYMAN (NPI# 1932634391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932634391 |
| Entity Type | Individual |
| Full Name | DR. MARY JEANNE BERRYMAN |
| Other Name | MARY JEANNE NEWBERY |
| Credential | PH.D. |
| Practice Address |
2715 Lilac St Longview WA 98632-3526 |
| Practice Telephone | 3605757580 |
| Mailing Telephone | 3605757580 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
506039G | WA | Behavioral Health & Social Service Providers |
| Street Address |
2715 LILAC ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235488677 | Rebecca Sue Baumgardner | Occupational Therapist | 2715 Lilac St, Longview, WA 98632-3526 | 2012-08-30 |
| 1841840204 | Sarah Vest | Speech-Language Pathologist | 2715 Lilac St, Longview, WA 98632-3526 | 2019-09-18 |
| 1386110898 | Emily Torman | Speech-Language Pathologist | 2715 Lilac St, Longview, WA 98632-3526 | 2018-10-23 |
| 1154835916 | Shawna Olson | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-11-30 |
| 1528572476 | Sofya Okronglo | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-11-29 |
| 1437663903 | Stacy Ann Hutton | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-11-20 |
| 1780119313 | Whitney Marie Smith | Licensed Practical Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-20 |
| 1598299836 | Stephanie Toms | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-13 |
| 1861926115 | Kylee Lamb | Licensed Practical Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-13 |
| 1356874846 | Krystle Spurling | Licensed Vocational Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794423 | Lizbeth Ramirez | Psychologist | 2210 Olympia Way, Longview, WA 98632-4505 | 2020-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488931 | Rhean Perkins | Psychologist | 120 Wildwind Ln, Ellensburg, WA 98926-9721 | 2020-08-18 |
| 1962014480 | Natalie Renee Scantlen | Psychologist | 3211 S 194th St, Seatac, WA 98188-5352 | 2020-08-17 |
| 1932721727 | Curtis Bennett | Psychologist | 3321 W Holyoke Ave, Spokane, WA 99208-4640 | 2020-05-14 |
| 1467929406 | Stacy Schmidt | Psychologist | 26201 Siyaya Ave Ne, Kingston, WA 98346-9367 | 2018-10-29 |
| 1518434687 | Elizabeth Meyers Hyde | Psychologist | 3011 Rocky Point Rd Nw, Bremerton, WA 98312-1918 | 2018-10-26 |
| 1003397647 | Sara Camille Banegas | Psychologist | 5108 260th St E, Graham, WA 98338-9609 | 2018-08-22 |
| 1205342698 | Kendra Panton | Psychologist | 6135 Gull Harbor Dr Ne, Olympia, WA 98506-9728 | 2017-12-20 |
| 1174045421 | Kim Sain | Psychologist | 18024 N Addison Ct, Colbert, WA 99005-8524 | 2017-07-07 |
| 1972023588 | Katrina Renee Carlson | Psychologist | 1962 Mahan Ave, Richland, WA 99354-2121 | 2017-06-23 |
| 1194264176 | Amanda Rexford | Psychologist | 2455 George Washington Way, J153, Richland, WA 99354-1725 | 2017-02-23 |
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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.