Individual
DAVID L BERKOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
349 FRANKLIN AVE, 208, NUTLEY, NJ 07110
(888) 299-9432
(973) 472-1305
Mailing address
349 FRANKLIN AVE, 208, NUTLEY, NJ 07110
(888) 299-9432
(973) 472-1305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03119
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00079084
MCARE RR
—
Enumeration date
08/16/2006
Last updated
07/08/2007
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