Basic Information
Provider Information
NPI: 1104265651
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BERLOWITZ
FirstName: YOCHEVED
MiddleName: JULIA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 212/411 JAFFA ST
Address2:  
City: JERUSALEM
State: ISRAEL
PostalCode: 90909
CountryCode: IL
TelephoneNumber: 97229931536
FaxNumber:  
Practice Location
Address1: 2400 S 48TH ST
Address2:  
City: SPRINGDALE
State: AR
PostalCode: 727626683
CountryCode: US
TelephoneNumber: 4797502020
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/18/2013
LastUpdateDate: 06/18/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X131349 1NYY Behavioral Health & Social Service ProvidersCounselorProfessional
2084P0800X131349 1NYN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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