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NPI Code Detail

MEDICARE: NAOMI BERKOWITZ

MEDICARE: NAOMI BERKOWITZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1-036WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821266636
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI BERKOWITZ
Provider Business Mailing Address
First Line : 1300 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2602
Country : US
Telephone Number : 414-390-5800
Fax Number : 414-225-1346
Provider Business Practice Location Address
First Line : 1300 N JACKSON ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2602
Country : US
Telephone Number : 414-390-5800
Fax Number : 414-225-1346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 02/14/2008

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Directions to “ NAOMI BERKOWITZ ” Practice Location

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