Provider Demographics
NPI:1760037469
Name:BERRY CAIN, MALLORI ELISE (MSW, LSW, MSP)
Entity Type:Individual
Prefix:
First Name:MALLORI
Middle Name:ELISE
Last Name:BERRY CAIN
Suffix:
Gender:F
Credentials:MSW, LSW, MSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W NORTH LN APT C1
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-3511
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:108 W NORTH LN APT C1
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-3511
Practice Address - Country:US
Practice Address - Phone:706-247-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula