| Doctor Name: | DR. GARY BERKOWITZ |
| NPI Number: | 1073518718 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 35SI00264700 |
| Business Practice Address: | 8217 Cadwalader Ave Elkins Park, PA - 190272405 |
| Business Phone Number: | 6094408897 |
| Business Fax Number: | |
| Mailing Address: | 8217 Cadwalader Ave, ELKINS PARK |
| State: | PA |
| Postal Code: | 190272405 |
| Phone Number: | 6094408897 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 04/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00264700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |