| Nancy C Liebler Phd | |
|
280 Harmon St Apt 290 Birmingham MI 48009-1367 | |
| (248) 840-0519 | |
| (248) 569-9410 |
| Full Name | Nancy C Liebler Phd |
|---|---|
| Speciality | Psychologist |
| Location | 280 Harmon St Apt 290, Birmingham, Michigan |
| Authorized Official Name and Position | Nancy C Liebler (OWNER) |
| Authorized Official Contact | 2488400519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy C Liebler Phd 280 Harmon St Apt 290 Birmingham MI 48009-1367 Ph: (248) 840-0519 | Nancy C Liebler Phd 280 Harmon St Apt 290 Birmingham MI 48009-1367 Ph: (248) 840-0519 |
| NPI Number | 1568005353 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 12/23/2023 |
| Certification Date | 12/23/2023 |
| Medicare PECOS PAC ID | 4385077700 |
|---|---|
| Medicare Enrollment ID | O20191125002452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568005353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy Liebler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639712920 PECOS PAC ID: 5496188963 Enrollment ID: I20191214000382 |
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