Provider Demographics
NPI:1407309438
Name:BERRY, HILARI LOUISE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:HILARI
Middle Name:LOUISE
Last Name:BERRY
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:HILARI
Other - Middle Name:LOUISE
Other - Last Name:BOSMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:1549 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4756
Mailing Address - Country:US
Mailing Address - Phone:509-735-1062
Mailing Address - Fax:
Practice Address - Street 1:1549 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4756
Practice Address - Country:US
Practice Address - Phone:509-735-1062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI 60662072235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist