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Mr. Dominik Ryan Berthold, MSW
Student in an Organized Health Care Education/Training Program in Lancaster, Pennsylvania
NPI 1164170023

Dominik Ryan Berthold is a Student in an Organized Health Care Education/Training Program based in Lancaster, PA. Dominik Ryan Berthold practices in Lancaster, PA and has the professional credentials of MSW. The NPI Number for Dominik Ryan Berthold is 1164170023 and holds a License No. (Pennsylvania).

The current practice location address for Dominik Ryan Berthold is 8 N Queen St, Lancaster, PA and can be reached out via phone at 717-297-0515 and via fax at 833-563-2325.

Location: 8 N Queen St, Lancaster, PA, 17603-3878
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164170023
Provider Name
Dominik Ryan Berthold
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
8 N Queen St, Lancaster, PA, 17603-3878
Phone Number
717-297-0515
Fax Number
833-563-2325
Provider Enumeration Date
03/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8 N Queen St
City
Lancaster
State
Pennsylvania
Zip
17603-3878
Phone Number
717-297-0515
Fax Number
833-563-2325
person
Provider Business Mailing Address Details
Address
8 N Queen St
City
Lancaster
State
Pennsylvania
Zip
17603-3878
Phone Number
717-297-0515
Fax Number
833-563-2325
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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