Individual
MR. DOMINIK RYAN BERTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
8 N QUEEN ST, LANCASTER, PA 17603-3878
(717) 297-0515
(833) 563-2325
Mailing address
8 N QUEEN ST, LANCASTER, PA 17603-3878
(717) 297-0515
(833) 563-2325
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
09/11/2025
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