Provider Demographics
NPI:1578695094
Name:WEINBERG, BARBARA S
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:S
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:S
Other - Last Name:WEINBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD
Mailing Address - Street 1:15 HALES HOLW
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-2418
Mailing Address - Country:US
Mailing Address - Phone:508-785-8010
Mailing Address - Fax:508-785-9922
Practice Address - Street 1:15 HALES HOLW
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:MA
Practice Address - Zip Code:02030-2418
Practice Address - Country:US
Practice Address - Phone:508-785-8010
Practice Address - Fax:508-785-9922
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6856103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW06500OtherBC-BS