Charles E. W. Berthold in St Charles - Clinical

Charles E. W. Berthold - NPI 1285749986

Charles E. W. Berthold is a Clinical in St Charles, Illinois. Charles E. W. Berthold practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles E. W. Berthold is 1285749986. The last update date is 2007-07-08.

Charles E. W. Berthold's current location address is 405 Illinois Ave, St Charles, Illinois. You can contact this provider via phone number 6303773535 and fax number 6305309527. The mailing address for Charles E. W. Berthold is 405 Illinois Ave, St Charles, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles E. W. Berthold
Address 405 Illinois Ave, St Charles, Illinois
Phone Number 6303773535
Fax Number 6305309527
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1285749986
Provider Enumeration Date 2006-08-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 405 Illinois Ave
City St Charles
State Illinois (IL)
Post Code 601742963
Phone Number 6303773535
Fax Number 6305309527

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Charles E. W. Berthold

What is the unique identifier code issued to Charles E. W. Berthold by the Centers for Medicare & Medicaid Services?

The Charles E. W. Berthold has been assigned the NPI (National Provider Identifier) 1285749986. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charles E. W. Berthold's facilities are geographically located?

The facilities of Charles E. W. Berthold are physically situated at the following location: 405 Illinois Ave, St Charles, IL, 601742963.

What is Charles E. W. Berthold's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Charles E. W. Berthold's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

When did Charles E. W. Berthold receive its 1285749986 assignment?

The Charles E. W. Berthold was assigned its 1285749986 on 2006-08-20, which is the date when this unique identifier was issued to the organization.

As of what date were the Charles E. W. Berthold's details last updated?

The information pertaining to the Charles E. W. Berthold, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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