Provider Demographics
NPI:1447909833
Name:BERRY, DARCY KATHERINE (MS, LCGC)
Entity type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:KATHERINE
Last Name:BERRY
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10920 N. MCKINLEY DR.
Mailing Address - Street 2:MKC-GEN
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612
Mailing Address - Country:US
Mailing Address - Phone:813-745-6507
Mailing Address - Fax:813-745-5445
Practice Address - Street 1:10920 N. MCKINLEY DR.
Practice Address - Street 2:MKC-GEN
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-745-6507
Practice Address - Fax:813-745-5445
Is Sole Proprietor?:No
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS