Provider Demographics
NPI:1326693813
Name:BERRYHILL, SAMANTHA (QBHS)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:BERRYHILL
Suffix:
Gender:F
Credentials:QBHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 E WOODRUFF AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-5367
Mailing Address - Country:US
Mailing Address - Phone:419-719-0049
Mailing Address - Fax:419-321-6913
Practice Address - Street 1:544 E WOODRUFF AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-5367
Practice Address - Country:US
Practice Address - Phone:419-719-0049
Practice Address - Fax:419-321-6913
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator