| NPI | 1972650141 |
|---|---|
| Former Name | STEPHEN C. BERRY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 6229) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 4586) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |