Provider Demographics
NPI:1851564744
Name:WEINBERG, BARBARA D (LIC AC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:D
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 LONG PLAIN RD
Mailing Address - Street 2:
Mailing Address - City:LEVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:01054-9764
Mailing Address - Country:US
Mailing Address - Phone:413-549-6405
Mailing Address - Fax:
Practice Address - Street 1:436 LONG PLAIN RD
Practice Address - Street 2:
Practice Address - City:LEVERETT
Practice Address - State:MA
Practice Address - Zip Code:01054-9764
Practice Address - Country:US
Practice Address - Phone:413-549-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222768171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist