| Organization Name: | SAMUEL BERKOWITZ, PH.D., INC. |
| NPI Number: | 1043417330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL BERKOWITZ (PSYCHOLOGIST OWNER) |
| Mailing Address: | 5018 Dorsey Hall Dr Suite 205 Ellicott City |
| State: | MD US |
| Postal Code: | 210427855 |
| Phone Number: | 4107305138 |
| Fax Number: | 4109970603 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 461-MD |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |