MEDICARE: MS. BARBARA G FEINBERG LISW, IMFT

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	1041C0700X	Clinical Social Worker	18255	OH

General Provider Information

NPI Number	:	1437194297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA G FEINBERG LISW, IMFT

Provider Business Mailing Address
First Line	:	2499 FAIRMOUNT BLVD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3189
Country	:	US
Telephone Number	:	216-321-8108
Fax Number	:	216-321-8109

Provider Business Practice Location Address
First Line	:	2499 FAIRMOUNT BLVD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44106-3189
Country	:	US
Telephone Number	:	216-321-8108
Fax Number	:	216-321-8109

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	07/08/2007

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