Individual
DR. DEBRA GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4444 W RIVERSIDE DR, SUITE 205, BURBANK, CA 91505-4073
(818) 566-3530
(818) 845-1615
Mailing address
4444 W RIVERSIDE DR, SUITE 205, BURBANK, CA 91505-4073
(818) 566-3530
(818) 845-1615
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680000015
RAILROAD MEDICARE
GA
05
—
PSY096410
—
CA
01
—
PSY9641
BLUE CROSS OF CALIFORNIA
CA
Enumeration date
12/29/2006
Last updated
03/09/2011
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