Provider Demographics
NPI:1013495647
Name:DAHLIA BERKOVITZ PHD PLLC
Entity Type:Organization
Organization Name:DAHLIA BERKOVITZ PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAHLIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PERKOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:248-760-8550
Mailing Address - Street 1:29623 NORTHWESTERN HWY LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-1076
Mailing Address - Country:US
Mailing Address - Phone:248-760-8550
Mailing Address - Fax:
Practice Address - Street 1:29623 NORTHWESTERN HWY LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1076
Practice Address - Country:US
Practice Address - Phone:248-760-8550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty