Individual
MR. JOHN DOUGLAS BERRIDGE
Active
Individual
MR. JOHN DOUGLAS BERRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LLP
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301007547
MI
103TC0700X
Clinical Psychologist
6301007547
MI
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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