MEDICARE: DR. BARBARA SPAR FURSTENBERG PSY.D

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	3773	MA

General Provider Information

NPI Number	:	1962556175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA SPAR FURSTENBERG PSY.D

Provider Business Mailing Address
First Line	:	47 LOMBARD ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02458-2513
Country	:	US
Telephone Number	:	617-964-5171
Fax Number	:	617-795-1976

Provider Business Practice Location Address
First Line	:	47 LOMBARD ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02458-2513
Country	:	US
Telephone Number	:	617-964-5171
Fax Number	:	617-795-1976

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	10/12/2008

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