Provider Demographics
NPI:1790967727
Name:BERKHEIMER, HAROLD L (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:L
Last Name:BERKHEIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HAROLD
Other - Middle Name:L
Other - Last Name:BERKHEIMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:145 MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1438
Mailing Address - Country:US
Mailing Address - Phone:203-313-1365
Mailing Address - Fax:
Practice Address - Street 1:145 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1438
Practice Address - Country:US
Practice Address - Phone:203-313-1365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTN/A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry