Provider Demographics
NPI:1689712739
Name:BERKO PSYCHOLOGICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:BERKO PSYCHOLOGICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:HARLAN
Authorized Official - Last Name:BERKO
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:440-668-8564
Mailing Address - Street 1:5880 DEEPWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2565
Mailing Address - Country:US
Mailing Address - Phone:440-668-8564
Mailing Address - Fax:
Practice Address - Street 1:5880 DEEPWOOD TRL
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2565
Practice Address - Country:US
Practice Address - Phone:440-668-8564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty