| Samuel Berkowitz, Ph.d., Inc. | |
|
5018 Dorsey Hall Dr Suite 205 Ellicott City MD 21042-7855 | |
| (410) 730-5138 | |
| (410) 997-0603 |
| Full Name | Samuel Berkowitz, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 5018 Dorsey Hall Dr, Ellicott City, Maryland |
| Authorized Official Name and Position | Samuel Berkowitz (PSYCHOLOGIST OWNER) |
| Authorized Official Contact | 4107305138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Berkowitz, Ph.d., Inc. 5018 Dorsey Hall Dr Suite 205 Ellicott City MD 21042-7855 Ph: (410) 730-5138 | Samuel Berkowitz, Ph.d., Inc. 5018 Dorsey Hall Dr Suite 205 Ellicott City MD 21042-7855 Ph: (410) 730-5138 |
| NPI Number | 1043417330 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1557383999 |
|---|---|
| Medicare Enrollment ID | O20051228000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043417330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 461-MD (Maryland) | Primary |
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