Individual
DR. LISA LIBERATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17 AROSA CT, GREENLAWN, NY 11740-1136
(631) 757-7977
Mailing address
17 AROSA CT, GREENLAWN, NY 11740-1136
(631) 757-7977
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012393
NY
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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