MEDICARE: ALAN SIMBERG, 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	106H00000X	Marriage & Family Therapist	5088	TX

General Provider Information

NPI Number	:	1225321284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN SIMBERG, LLC

Provider Business Mailing Address
First Line	:	1406 VERMONT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1040
Country	:	US
Telephone Number	:	281-785-0660
Fax Number	:	713-522-8372

Provider Business Practice Location Address
First Line	:	1406 VERMONT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-1040
Country	:	US
Telephone Number	:	281-785-0660
Fax Number	:	713-522-8372

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALAN SIMBERG
Credential	:	PH.D.
Telephone Number	:	281-785-0660

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	05/24/2011

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