Provider Demographics
NPI:1558356972
Name:WEINBERGER, MARTHA BERNATZ (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:BERNATZ
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARCY
Other - Middle Name:BERNATZ
Other - Last Name:WEINBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2717 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-1705
Mailing Address - Country:US
Mailing Address - Phone:205-752-7691
Mailing Address - Fax:205-758-6355
Practice Address - Street 1:2717 6TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1705
Practice Address - Country:US
Practice Address - Phone:205-752-7691
Practice Address - Fax:205-758-6355
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL467103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51072157WEIOtherBCBS
R35902Medicare UPIN
AL51072157WEIOtherBCBS