Provider Demographics
NPI:1912052531
Name:BERIE, DIANE CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:CATHERINE
Last Name:BERIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3690 ORANGE PL
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4464
Mailing Address - Country:US
Mailing Address - Phone:216-292-6288
Mailing Address - Fax:216-464-3951
Practice Address - Street 1:3690 ORANGE PL
Practice Address - Street 2:SUITE 410
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4464
Practice Address - Country:US
Practice Address - Phone:216-292-6288
Practice Address - Fax:216-464-3951
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35 0714572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry