Provider Demographics
NPI:1518474295
Name:BERLIN TOPPER, CHERI SUE (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:SUE
Last Name:BERLIN TOPPER
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28000 WOODWARD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-0962
Mailing Address - Country:US
Mailing Address - Phone:248-395-3777
Mailing Address - Fax:248-395-3370
Practice Address - Street 1:28000 WOODWARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0962
Practice Address - Country:US
Practice Address - Phone:248-395-3777
Practice Address - Fax:248-395-3370
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICC-JR0300480033235Z00000X
MI235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist