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Individual

MR. DENNIS A. BERLING

Active
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Individual

MR. DENNIS A. BERLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.I.S.W.

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
0009541
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009541
LICENSE
OH
01
2891143
MEDICAID - MED HMO ONLY
OH
Enumeration date
06/14/2007
Last updated
08/08/2011
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