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Contact Information

BERKS THERAPEUTIC ALLIANCE
845 N PARK RD
SUITE 101
WYOMISSING, PA19610-1342
 Phone: 610-334-8131
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BERKS THERAPEUTIC ALLIANCE · (Female)

NPI # 1497167167
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2014
Last updated 05/28/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD426302
  • PA License # PC002868
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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