Organization
BEHAVIORAL WELLNESS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY K BERKOWITZ MD (OWNER)
(203) 693-3311
Entity
Organization
Contact information
Practice address
849 BOSTON POST RD, SUITE 203, MILFORD, CT 06460-3537
(203) 693-3311
(203) 878-6749
Mailing address
849 BOSTON POST RD, SUITE 203, MILFORD, CT 06460-3537
(203) 693-3311
(203) 878-6749
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
028024
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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