Berman, Dene S
Berman, Dene S is an sole proprietor health care provider with primary practice located at 1698 Forestdale Ave , Beavercreek OH 45432-3957. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Berman, Dene S can be contacted via phone (937) 426-2079.Contact Information
Primary practice address
1698 Forestdale Ave
Beavercreek OH 45432-3957
Phone: (937) 426-2079
Fax: (937) 426-0211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2372 | Ohio |
Profile Details
| NPI number | 1154466654 |
|---|---|
| LBN Legal business name | Berman, Dene S |
| Credentials | PSYCHOLOGIST PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154466654 | NPPES |
| Ohio | MEDICAID | 0507928 | |
| Ohio | Other | 000000011900 | |
| Ohio | Other | 007820000 | |
| Ohio | Other | 053905 |
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