Provider Demographics
NPI:1962556175
Name:FURSTENBERG, BARBARA SPAR (PSYD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:SPAR
Last Name:FURSTENBERG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2513
Mailing Address - Country:US
Mailing Address - Phone:617-964-5171
Mailing Address - Fax:617-795-1976
Practice Address - Street 1:47 LOMBARD ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2513
Practice Address - Country:US
Practice Address - Phone:617-964-5171
Practice Address - Fax:617-795-1976
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3773103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO3793Medicare ID - Type Unspecified