Individual
DR. LUCY R. LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8821 COLUMBIA 100 PARKWAY, COLUMBIA, MD 21045
(410) 794-4924
(667) 200-5953
Mailing address
8821 COLUMBIA 100 PARKWAY, COLUMBIA, MD 21045
(410) 794-4924
(667) 200-5953
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907042700
—
MD
Enumeration date
05/09/2013
Last updated
10/11/2018
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