Provider Demographics
NPI:1285786335
Name:BERKOWITZ, SHARON B (MED)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:B
Last Name:BERKOWITZ
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5121
Mailing Address - Country:US
Mailing Address - Phone:610-248-3600
Mailing Address - Fax:
Practice Address - Street 1:1600 LEHIGH PKWY E
Practice Address - Street 2:REGENCY TOWERS - SUITE 1D
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3000
Practice Address - Country:US
Practice Address - Phone:610-248-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004394101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional