Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY.0004817 | CO |
Y | 103TC0700X | Clinical Psychologist | PSY.0004817 | CO |
N | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1003177098 |
---|---|
Provider Name | Dr. Lauren Dawn Berkovits |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 10/09/2021 |