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Individual

MR. JOHN DOUGLAS BERRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., LLP

Contact information

Practice address
1040 S WINTER ST, SUITE 1022, ADRIAN, MI 49221-3876
(517) 263-8905
(517) 265-8237
Mailing address
1040 S WINTER ST, SUITE 1022, ADRIAN, MI 49221-3876
(517) 263-8905
(517) 265-8237

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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