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NPI Code Detail

MEDICARE: DR. ALAN HARRY BERKOWITZ PH.D.

MEDICARE:  DR. ALAN HARRY 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
1103TB0200XCognitive & Behavioral PsychologistPSY5957CA
2103TC0700XClinical PsychologistPSY5957CA

General Provider Information

NPI Number : 1639378516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN HARRY BERKOWITZ PH.D.
Provider Business Mailing Address
First Line : 5000 NORTH PARKWAY CALABASAS
Second Line : SUITE 218
City : CALABASAS
State : CA
Zip : 91302-1400
Country : US
Telephone Number : 818-223-8670
Fax Number : 818-223-9317
Provider Business Practice Location Address
First Line : 5000 PARKWAY CALABASAS
Second Line : SUITE 218
City : CALABASAS
State : CA
Zip : 91302-1400
Country : US
Telephone Number : 818-223-8670
Fax Number : 818-223-9317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2007
Last Update Date : 10/27/2007

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