Provider Demographics
NPI:1255629945
Name:CARBERY, BRANKA BRANDY
Entity type:Individual
Prefix:MRS
First Name:BRANKA
Middle Name:BRANDY
Last Name:CARBERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 W ELMWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4405
Mailing Address - Country:US
Mailing Address - Phone:630-289-8882
Mailing Address - Fax:
Practice Address - Street 1:1040 W ELMWOOD LN
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4405
Practice Address - Country:US
Practice Address - Phone:630-289-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist