Healthcare Provider Details

I. General information

NPI: 1700891413
Provider Name (Legal Business Name): BERKO PSYCHOLOGICAL ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6575 ASHTON LN
SOLON OH
44139-3213
US

IV. Provider business mailing address

PO BOX 391057
SOLON OH
44139-8057
US

V. Phone/Fax

Practice location:
  • Phone: 440-668-8564
  • Fax: 877-844-4869
Mailing address:
  • Phone: 440-668-8564
  • Fax: 877-844-4869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC H BERKO
Title or Position: OWNER
Credential: PHD
Phone: 440-668-8564