Provider Demographics
NPI:1427489277
Name:BIRSINGER, BARBARA (THD, MPH, RD, CEDRD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:BIRSINGER
Suffix:
Gender:F
Credentials:THD, MPH, RD, CEDRD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 PINEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-4337
Mailing Address - Country:US
Mailing Address - Phone:707-799-2982
Mailing Address - Fax:707-763-9380
Practice Address - Street 1:175 CONCOURSE BLVD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-8217
Practice Address - Country:US
Practice Address - Phone:707-799-2982
Practice Address - Fax:707-763-9380
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA516016133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic