Individual
MR. DAVID BRUCE LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, MS, CAS
Contact information
Practice address
2 COUNTRY CLUB RD, QUEENSBURY, NY 12804-1702
(518) 926-2050
Mailing address
44 FOX HOLLOW LN, QUEENSBURY, NY 12804-1142
(518) 745-1120
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314998
—
NY
Enumeration date
10/24/2018
Last updated
10/24/2018
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