Individual
DR. KIRA LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11 CHAPEL PL, WELLESLEY, MA 02481-3130
(617) 816-6562
(781) 235-7176
Mailing address
11 CHAPEL PL, WELLESLEY, MA 02481-3130
(617) 816-6562
(781) 235-7176
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8002
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06163
BLUE CROSS IDENTIFICATION
MA
Enumeration date
12/06/2006
Last updated
07/08/2007
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