Individual
AMANDA LIEBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 E CHASE AVE STE 204, EL CAJON, CA 92020-6300
(619) 647-6157
Mailing address
449 NAUTILUS ST, LA JOLLA, CA 92037-5968
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20761
NY
Other
Enumeration date
06/14/2013
Last updated
02/18/2021
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