Individual
GAIL BERKOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
24566 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2711
(248) 552-0440
(248) 569-0801
Mailing address
24566 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2711
(248) 552-0440
(248) 569-0801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002728
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680F34763
BLUECROSS
MI
Enumeration date
08/29/2006
Last updated
12/17/2010
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