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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