Provider Demographics
NPI:1609917244
Name:KAREN S BERKOWITZ PHD PC
Entity Type:Organization
Organization Name:KAREN S BERKOWITZ PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-614-9337
Mailing Address - Street 1:8600 WURZBACH RD
Mailing Address - Street 2:SUITE 1204
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4330
Mailing Address - Country:US
Mailing Address - Phone:210-614-9337
Mailing Address - Fax:210-614-9339
Practice Address - Street 1:8600 WURZBACH RD
Practice Address - Street 2:SUITE 1204
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4330
Practice Address - Country:US
Practice Address - Phone:210-614-9337
Practice Address - Fax:210-614-9339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22194103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A4788Medicare PIN