MEDICARE: KAREN S BERKOWITZ PH.D.

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
1	103TC0700X	Clinical Psychologist	22194	TX
2	103T00000X	Psychologist	22194	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1306996046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN S BERKOWITZ PH.D.

Provider Business Mailing Address
First Line	:	8600 WURZBACH RD
Second Line	:	SUITE 1204
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4330
Country	:	US
Telephone Number	:	210-614-9337
Fax Number	:	210-614-9339

Provider Business Practice Location Address
First Line	:	8600 WURZBACH RD
Second Line	:	SUITE 1204
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4330
Country	:	US
Telephone Number	:	210-614-9337
Fax Number	:	210-614-9339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	04/23/2010

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