MEDICARE: DEBORAH PELBERG MA LMFT

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	MF001027	PA

General Provider Information

NPI Number	:	1669943213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH PELBERG MA LMFT

Provider Business Mailing Address
First Line	:	721 BERGEN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-1328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 FITZWATERTOWN RD # A1
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1904
Country	:	US
Telephone Number	:	267-861-3685
Fax Number	:

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

Provider Enumeration Date	:	12/07/2018
Last Update Date	:	09/23/2020

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