| Lewis R. Lieberman, Incorporated | |
|
1501 13th St Suite J Columbus GA 31901-2383 | |
| (706) 315-1862 | |
| Not Available |
| Full Name | Lewis R. Lieberman, Incorporated |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1501 13th St, Columbus, Georgia |
| Authorized Official Name and Position | Lewis Robert Lieberman (SECRETARY/TREASURER) |
| Authorized Official Contact | 7065614625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis R. Lieberman, Incorporated 5701 Sherborne Dr Columbus GA 31909-4740 Ph: (706) 561-4625 | Lewis R. Lieberman, Incorporated 1501 13th St Suite J Columbus GA 31901-2383 Ph: (706) 315-1862 |
| NPI Number | 1831426162 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831426162 | NPI | - | NPPES |
| 000052401B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 205 (Georgia) | Primary |
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