Individual
JAY HOWARD BERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
28001 CHAGRIN BLVD, SUITE 212, WOODMERE, OH 44122-4559
(216) 292-7170
(216) 292-7182
Mailing address
28001 CHAGRIN BLVD, SUITE 212, WOODMERE, OH 44122-4559
(216) 292-7170
(216) 292-7182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4737
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0966807
—
OH
Enumeration date
08/22/2006
Last updated
07/08/2007
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