Individual
DR. MICHAEL SCOTT LIEBENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., BCB
Contact information
Practice address
3512 QUENTIN RD, SUITE 110, BROOKLYN, NY 11234-4244
(800) 275-3243
Mailing address
3512 QUENTIN RD, SUITE 110, BROOKLYN, NY 11234-4244
(800) 275-3243
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019325-1
NY
103TC0700X
Clinical Psychologist
35SI00498500
NJ
Other
Enumeration date
12/08/2011
Last updated
05/27/2014
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