Individual
DR. REBECCA WASSERMAN LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
707 N. BROADWAY, CONSODINE PROFESSIONAL BUILDING, BALTIMORE, MD 21205
(443) 923-9200
(330) 543-6045
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205
(330) 543-8050
(330) 543-6045
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
09/05/2012
Last updated
09/20/2022
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