Provider Demographics
NPI:1790846954
Name:WEINBERG, REBECCA BRODT (RN, MS)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:BRODT
Last Name:WEINBERG
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Gender:F
Credentials:RN, MS
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Mailing Address - Street 1:310 S WILLIAMS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-4407
Mailing Address - Country:US
Mailing Address - Phone:520-747-2822
Mailing Address - Fax:520-747-2803
Practice Address - Street 1:310 S WILLIAMS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-4407
Practice Address - Country:US
Practice Address - Phone:520-747-2822
Practice Address - Fax:520-747-2803
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ0105101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health