Provider Demographics
NPI:1275857237
Name:BERKSHIRE PSYCHOLOGY ASSOCIATES, LLC
Entity Type:Organization
Organization Name:BERKSHIRE PSYCHOLOGY ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SPRENKLE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:413-684-4696
Mailing Address - Street 1:399 1/2 MAIN ST
Mailing Address - Street 2:SUITE 2D-2
Mailing Address - City:DALTON
Mailing Address - State:MA
Mailing Address - Zip Code:01226-1696
Mailing Address - Country:US
Mailing Address - Phone:413-684-4696
Mailing Address - Fax:815-572-8941
Practice Address - Street 1:399 1/2 MAIN ST
Practice Address - Street 2:SUITE 2D-2
Practice Address - City:DALTON
Practice Address - State:MA
Practice Address - Zip Code:01226-1696
Practice Address - Country:US
Practice Address - Phone:413-684-4696
Practice Address - Fax:815-572-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8762103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty