Provider Demographics
NPI:1457318115
Name:GREENBERGER, DEBRA L (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:L
Last Name:GREENBERGER
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2419
Mailing Address - Country:US
Mailing Address - Phone:412-422-8006
Mailing Address - Fax:412-422-5061
Practice Address - Street 1:2703 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2419
Practice Address - Country:US
Practice Address - Phone:412-422-8006
Practice Address - Fax:412-422-5061
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000135L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA219382Medicare UPIN