Individual
DONNA E LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
211 W 56TH ST APT 6J, NEW YORK, NY 10019-4317
(212) 489-1701
Mailing address
211 W 56TH ST APT 6J, NEW YORK, NY 10019-4317
(212) 489-1701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008609
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008609
LICENSE
NY
Enumeration date
01/12/2007
Last updated
07/08/2007
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