| Dr. E. Ala Shavana Fineberg, Llc | |
|
124 Sw H St Ste 4 Grants Pass OR 97526-2500 | |
| (541) 846-0590 | |
| Not Available |
| Full Name | Dr. E. Ala Shavana Fineberg, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 124 Sw H St Ste 4, Grants Pass, Oregon |
| Authorized Official Name and Position | Ellen Joan Fineberg (OWNER) |
| Authorized Official Contact | 5418460590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. E. Ala Shavana Fineberg, Llc Po Box 474 Williams OR 97544-0474 Ph: (541) 846-0590 | Dr. E. Ala Shavana Fineberg, Llc 124 Sw H St Ste 4 Grants Pass OR 97526-2500 Ph: (541) 846-0590 |
| NPI Number | 1285935163 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285935163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1698 (Oregon) | Primary |
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