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Contact Information

LEWIS R LIEBERMAN, PH. D.
1501 13TH ST
SUITE J
COLUMBUS, GA31901-2383
 Phone: 706-322-8264
 Fax: 706-569-8387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEWIS R LIEBERMAN · (Male)

NPI Number 1861530263
Status Active
Credentials PH. D.
Entity Individual
Enumeration date 02/01/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 205
  • GA Medicaid 000052401B
  • GA Other 205 PSYCHOLOGY LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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