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Individual

DENE S BERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST PHD

Contact information

Practice address
1698 FORESTDALE AVE, BEAVERCREEK, OH 45432-3957
(937) 426-2079
(937) 426-0211
Mailing address
PO BOX 340398, BEAVERCREEK, OH 45434-0398
(937) 426-2079
(937) 426-0211

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2372
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000011900
ANTHEM
OH
01
007820000
MAGELLAN
OH
05
0507928
OH
01
053905
VALUE OPTIONS
OH
Enumeration date
02/21/2007
Last updated
07/28/2023
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