Organization
REBECCA Y LIEBERMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA Y LIEBERMAN (PSYCHOLOGIST)
(215) 362-0474
Entity
Organization
Contact information
Practice address
423 PENNSYLVANIA AVE, LANSDALE, PA 19446-3524
(215) 362-0474
Mailing address
423 PENNSYLVANIA AVE, LANSDALE, PA 19446-3524
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS2736-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LI400488
BLUE SHIELD PROVIDER #
PA
01
—
PS2736-L
PSYCHOLOGY LICENSE
PA
Enumeration date
07/30/2006
Last updated
08/22/2020
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