Provider Demographics
NPI:1083027999
Name:BERKOSKI, AMBER ELIZABETH
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:ELIZABETH
Last Name:BERKOSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 BROOKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-9732
Mailing Address - Country:US
Mailing Address - Phone:717-424-8156
Mailing Address - Fax:
Practice Address - Street 1:75 BROOKSIDE CT
Practice Address - Street 2:
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512-9732
Practice Address - Country:US
Practice Address - Phone:717-424-8156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health