CHARLES E. W. BERTHOLD

ST CHARLES, IL
NPI1285749986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071004674)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
Dr. CHARLES E. W. BERTHOLD Ph.D.
405 ILLINOIS AVE STE 2C
ST CHARLES, IL 60174-2963
Phone number: 630-377-3535
Mailing Address
Dr. CHARLES E. W. BERTHOLD Ph.D.
405 ILLINOIS AVE STE 2C
ST CHARLES, IL 60174-2963
Phone number: 630-377-3535
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