Individual
DR. LEA BERENTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10110 LAKE ROAD, BOTTINEAU, ND 58318
(701) 389-7963
(701) 425-0550
Mailing address
PO BOX 267, BOTTINEAU, ND 58318-0267
(701) 389-7963
(701) 425-0550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
487
ND
103TC0700X
Clinical Psychologist
Primary
487
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1453145
—
ND
Enumeration date
12/16/2013
Last updated
05/01/2026
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