MEDICARE: SARAH ROSE BERKEY MILAM 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	101Y00000X	Counselor
2	103T00000X	Psychologist

General Provider Information

NPI Number	:	1871836627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ROSE BERKEY MILAM PH.D.

Provider Business Mailing Address
First Line	:	1153 SEVERNVIEW DR
Second Line	:
City	:	CROWNSVILLE
State	:	MD
Zip	:	21032-1103
Country	:	US
Telephone Number	:	443-618-8589
Fax Number	:

Provider Business Practice Location Address
First Line	:	1190 WINTERSON RD STE 160
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-2245
Country	:	US
Telephone Number	:	410-684-3806
Fax Number	:	410-421-8042

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

Provider Enumeration Date	:	03/30/2013
Last Update Date	:	06/03/2021

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