Individual
NICOLE IVY LEIBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5510 CHEROKEE AVE STE 300, ALEXANDRIA, VA 22312-2320
(888) 463-8763
Mailing address
1941 EAST RD, HOUSTON, TX 77054-6010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101287905
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/05/2026
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