Individual
CHRISTINE MARIE LEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
20 CENTRAL AVE, LYNN, MA 01901-1201
(781) 581-3900
Mailing address
23 TURNER ST UNIT 3, SALEM, MA 01970-5276
(978) 818-9479
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
264691
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN264691
MA
Other
Enumeration date
07/18/2019
Last updated
02/14/2020
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