Provider Demographics
NPI:1689084089
Name:GREENZWEIG, BARBARA
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GREENZWEIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 DELAWARE AVE
Mailing Address - Street 2:BOX D
Mailing Address - City:PALMERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18071-1900
Mailing Address - Country:US
Mailing Address - Phone:610-769-4111
Mailing Address - Fax:
Practice Address - Street 1:480 DELAWARE AVE
Practice Address - Street 2:BOX D
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071-1900
Practice Address - Country:US
Practice Address - Phone:610-769-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000980103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst