| Doctor Name: | JOHN MICHAEL BERECZ |
| NPI Number: | 1518246123 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 6301001096 |
| Business Practice Address: | 2117 Grange Rd Buchanan, MI - 491079367 |
| Business Phone Number: | 2694709999 |
| Business Fax Number: | 2694283448 |
| Mailing Address: | 2117 Grange Rd, BUCHANAN |
| State: | MI |
| Postal Code: | 49107 |
| Phone Number: | 2694709999 |
| Fax Number: | 2694283448 |
| NPI Enumeration Date: | 08/12/2011 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301001096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |