Individual
MRS. MINA BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1153 TIFFANY LN, LAKEWOOD, NJ 08701-5863
(732) 543-4324
Mailing address
1153 TIFFANY LN, LAKEWOOD, NJ 08701-5863
(732) 543-4324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00737700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14282102
ASHA
—
Enumeration date
05/09/2019
Last updated
05/09/2019
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