Individual
DAVID MELVILLE LIEBENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
738-3 CLARIDGE LN, AURORA, OH 44202-9108
(330) 562-8455
(330) 562-8455
Mailing address
738-3 CLARIDGE LN, AURORA, OH 44202-9108
(330) 562-8455
(330) 562-8455
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2830048
—
OH
Enumeration date
08/17/2006
Last updated
10/17/2012
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