Lewis R. Lieberman in Columbus - Clinical

Lewis R. Lieberman - NPI 1861530263

Lewis R. Lieberman is a Clinical in Columbus, Georgia. Lewis R. Lieberman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lewis R. Lieberman is 1861530263. The last update date is 2007-07-09.

Lewis R. Lieberman's current location address is 1501 13th St, Columbus, Georgia. You can contact this provider via phone number 7063228264 and fax number 7065698387. The mailing address for Lewis R. Lieberman is 1501 13th St, Columbus, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Lewis R. Lieberman
Address 1501 13th St, Columbus, Georgia
Phone Number 7063228264
Fax Number 7065698387
Sole Proprietor Y
Credentials PH. D.

NPI Number Detail

NPI Number 1861530263
Provider Enumeration Date 2007-02-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1501 13th St
City Columbus
State Georgia (GA)
Post Code 319012383
Phone Number 7063228264
Fax Number 7065698387

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 205
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000052401B GA --
205 GA PSYCHOLOGY LICENSE NUMBER

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FAQs about Lewis R. Lieberman

What is the unique identifier code issued to Lewis R. Lieberman by the Centers for Medicare & Medicaid Services?

The Lewis R. Lieberman has been assigned the NPI (National Provider Identifier) 1861530263. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Lewis R. Lieberman is located?

The Lewis R. Lieberman is situated at the following address: 1501 13Th St, Columbus, GA, 319012383.

What is Lewis R. Lieberman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lewis R. Lieberman is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1861530263 to Lewis R. Lieberman?

The Lewis R. Lieberman received its 1861530263 assignment from the Centers for Medicare & Medicaid Services on 2007-02-01.

As of what date were the details related to Lewis R. Lieberman most recently updated or revised?

The information pertaining to Lewis R. Lieberman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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