Provider Demographics
NPI:1265845614
Name:AMY SHEINBERG, PH.D., LLC
Entity Type:Organization
Organization Name:AMY SHEINBERG, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-361-0660
Mailing Address - Street 1:8333 DOUGLAS AVE
Mailing Address - Street 2:SUITE 1240
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5845
Mailing Address - Country:US
Mailing Address - Phone:214-361-0660
Mailing Address - Fax:
Practice Address - Street 1:8333 DOUGLAS AVE
Practice Address - Street 2:SUITE 1240
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5845
Practice Address - Country:US
Practice Address - Phone:214-361-0660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25047103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty