Individual
JOHN BERTSCHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1389 APPLE VALLEY CT, BROADVIEW HEIGHTS, OH 44147-3640
(440) 262-3700
(440) 262-3702
Mailing address
1389 APPLE VALLEY CT, BROADVIEW HEIGHTS, OH 44147-3640
(440) 262-3700
(440) 262-3702
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000152019
ANTHEM
—
05
—
0166047
—
OH
01
—
P00112875
RAILROAD MEDICARE NUMBER
OH
Enumeration date
06/24/2005
Last updated
07/09/2007
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