Basic Information
| Provider Information | |||||||||
| NPI: | 1518474295 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BERLIN TOPPER | ||||||||
| FirstName: | CHERI | ||||||||
| MiddleName: | SUE | ||||||||
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| Credential: | SPEECH PATHOLOGIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 28000 WOODWARD AVE STE 201 | ||||||||
| Address2: | |||||||||
| City: | ROYAL OAK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480670962 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483953777 | ||||||||
| FaxNumber: | 2483953370 | ||||||||
| Practice Location | |||||||||
| Address1: | 28000 WOODWARD AVE STE 201 | ||||||||
| Address2: | |||||||||
| City: | ROYAL OAK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480670962 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483953777 | ||||||||
| FaxNumber: | 2483953370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/04/2018 | ||||||||
| LastUpdateDate: | 02/19/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | CC-JR0300480033 | MI | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | MI | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.