Individual
DR. CHARLES E. W. BERTHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
405 ILLINOIS AVE, STE 2C, ST CHARLES, IL 60174-2963
(630) 377-3535
(630) 530-9527
Mailing address
405 ILLINOIS AVE, STE 2C, ST CHARLES, IL 60174-2963
(630) 377-3535
(630) 530-9527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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