MEDICARE: AMY SHEINBERG, PH.D., LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	25047	TX

General Provider Information

NPI Number	:	1265845614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY SHEINBERG, PH.D., LLC

Provider Business Mailing Address
First Line	:	8333 DOUGLAS AVE
Second Line	:	SUITE 1240
City	:	DALLAS
State	:	TX
Zip	:	75225-5845
Country	:	US
Telephone Number	:	214-361-0660
Fax Number	:

Provider Business Practice Location Address
First Line	:	8333 DOUGLAS AVE
Second Line	:	SUITE 1240
City	:	DALLAS
State	:	TX
Zip	:	75225-5845
Country	:	US
Telephone Number	:	214-361-0660
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. AMY SHEINBERG
Credential	:	PH.D.
Telephone Number	:	214-361-0660

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	06/03/2014

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