Individual
MS. MERYL LEIBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
49 CAMINO BAJO, SANTA FE, NM 87508-8614
(505) 474-7684
(505) 438-4877
Mailing address
2325 CERRILLOS RD, SANTA FE, NM 87505-3373
(505) 438-0010
(505) 438-6011
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E8696
—
NM
Enumeration date
08/18/2009
Last updated
08/18/2009
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