Individual
MRS. STEPHANIE BERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
39 RUSTIC GATE LANE, DIX HILLS, NY 11746-6137
(631) 643-1373
Mailing address
39 RUSTIC GATE LN, DIX HILLS, NY 11746-6137
(631) 643-1373
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R041817-1
NY
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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