Provider Demographics
NPI:1457561185
Name:BERLAND, THELMA REYNE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:THELMA
Middle Name:REYNE
Last Name:BERLAND
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 2 RD
Mailing Address - Street 2:
Mailing Address - City:DAMAR
Mailing Address - State:KS
Mailing Address - Zip Code:67632-9208
Mailing Address - Country:US
Mailing Address - Phone:785-839-4266
Mailing Address - Fax:
Practice Address - Street 1:1260 2 RD
Practice Address - Street 2:
Practice Address - City:DAMAR
Practice Address - State:KS
Practice Address - Zip Code:67632-9208
Practice Address - Country:US
Practice Address - Phone:785-839-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1416235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist