Organization
DR. E. ALA SHAVANA FINEBERG, LLC
Active
Organization
DR. E. ALA SHAVANA FINEBERG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN JOAN FINEBERG PH.D. (OWNER)
(541) 846-0590
Entity
Organization
Contact information
Practice address
124 SW H ST STE 4, GRANTS PASS, OR 97526-2500
(541) 846-0590
Mailing address
PO BOX 474, WILLIAMS, OR 97544-0474
(541) 846-0590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1698
OR
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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