Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 011088 | NY |
N | 103T00000X | Psychologist | 011088 | NY |
N | 103G00000X | Clinical Psychologist | 011088 | NY |
N | 103TC0700X | Clinical Psychologist | 011088 | NY |
N | 103TH0100X | Health Service | ||
N | 103TP0814X | Psychoanalysis |
NPI | 1558417535 |
---|---|
Provider Name | Dr. Rita Leah Lieberman |
First Address | Nyack, NY 10960-2636 |
Second Address | Nyack, NY 10960-2636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 08/07/2007 |