| Doctor Name: | MR. JOHN BONTEMPO |
| NPI Number: | 1174567291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW |
| License Number: | I-7113 |
| Business Practice Address: | 429 Front St Berea, OH - 440171716 |
| Business Phone Number: | 4402341900 |
| Business Fax Number: | 4402342072 |
| Mailing Address: | 429 Front St, BEREA |
| State: | OH |
| Postal Code: | 440171716 |
| Phone Number: | 4402341900 |
| Fax Number: | 4402342072 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-7113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |