Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES E. W. BERTHOLD, PH.D.
Active Sole ProprietorClinical Psychologist · ST CHARLES, IL
Registration Details
- NPI Number
- 1285749986
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (19.713997421813 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
405 ILLINOIS AVESTE 2CST CHARLES, IL, 601742963Browse IL providers · Browse ZIP 60174
- Phone
- 6303773535
- Fax
- 6305309527
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in ST CHARLES, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY R. BUHRT | PSY.D. | 1063408250 |
| KRYSTA M WINTERS | PSY.D. | 1508870452 |
| DR. TAMARA A SUAREZ | PSY.D. | 1174535702 |
| DR. ROSEMARY TAYLOR | PH.D. | 1194839233 |
| DR. HEATHER HAREJ | PSY.D. | 1689788739 |
| DR. JOHN MICHAEL EPPOLITO | PSY.D. | 1538273685 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.