Provider Demographics
NPI:1952464984
Name:MICHAEL L. SAKOWITZ PH.D., P.A,
Entity Type:Organization
Organization Name:MICHAEL L. SAKOWITZ PH.D., P.A,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-696-5668
Mailing Address - Street 1:11 COLBURN CT
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-8211
Mailing Address - Country:US
Mailing Address - Phone:973-696-5668
Mailing Address - Fax:973-305-8078
Practice Address - Street 1:11 COLBURN CT
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-8211
Practice Address - Country:US
Practice Address - Phone:973-696-5668
Practice Address - Fax:973-305-8078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SIO0148700103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty