Organization
M. DAVID LIBERMAN PHD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL DAVID LIBERMAN PH.D. (PRESIDENT)
(847) 432-4404
Entity
Organization
Contact information
Practice address
600 CENTRAL AVE, SUITE 235, HIGHLAND PARK, IL 60035-3211
(847) 432-4404
(847) 432-6349
Mailing address
600 CENTRAL AVE, SUITE 235, HIGHLAND PARK, IL 60035-3211
(847) 432-4404
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
060.002873
IL
Other
Enumeration date
01/02/2007
Last updated
11/27/2012
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