Provider Demographics
NPI:1194910224
Name:WEITZBERG, BARBARA LOIS (MSW)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LOIS
Last Name:WEITZBERG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5711 COMO CIR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6260
Mailing Address - Country:US
Mailing Address - Phone:818-703-3176
Mailing Address - Fax:818-347-5092
Practice Address - Street 1:5711 COMO CIR
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6260
Practice Address - Country:US
Practice Address - Phone:818-703-3176
Practice Address - Fax:818-347-5092
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA239611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical