Individual
LIBORIO JOSEPH PADULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8656
(734) 722-9524
Mailing address
PO BOX 51726, LIVONIA, MI 48151-5726
(734) 953-3333
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301003882
MI
103TC0700X
Clinical Psychologist
Primary
6301003882
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301003882
MI
103TF0200X
Forensic Psychologist
6301003882
MI
104100000X
Social Worker
6801015946
MI
1041C0700X
Clinical Social Worker
6801015946
MI
106H00000X
Marriage & Family Therapist
4101005389
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508883299
WRPH
MI
Enumeration date
08/27/2007
Last updated
08/27/2007
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