Provider Demographics
NPI:1366771784
Name:BERKOWITZ, BARBARA PERLMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:PERLMAN
Last Name:BERKOWITZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6217
Mailing Address - Country:US
Mailing Address - Phone:203-632-8094
Mailing Address - Fax:203-632-8215
Practice Address - Street 1:441 ORANGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6217
Practice Address - Country:US
Practice Address - Phone:203-632-8094
Practice Address - Fax:203-632-8215
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000959103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist