Provider Demographics
NPI:1700627403
Name:BERKE, ARALEE ANNE (SLP)
Entity type:Individual
Prefix:
First Name:ARALEE
Middle Name:ANNE
Last Name:BERKE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ARALEE
Other - Middle Name:ANNE
Other - Last Name:BOGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:440 E WISHBONE LN
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-2074
Mailing Address - Country:US
Mailing Address - Phone:817-215-0000
Mailing Address - Fax:
Practice Address - Street 1:440 E WISHBONE LN
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-2074
Practice Address - Country:US
Practice Address - Phone:817-215-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120995235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist