Individual
DR. BRIES ERIK DEERROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
11500 NORTHLAKE DR, SUITE 230, CINCINNATI, OH 45249-1650
(513) 247-2814
Mailing address
11500 NORTHLAKE DR, SUITE 230, CINCINNATI, OH 45249-1650
(513) 247-2814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PSY.0004248
CO
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
PSY.0004248
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2010
Last updated
10/15/2015
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