Active NPIIndividual provider

Dr. Bethany A Lieberman, PSYD

Psychologist, Clinical in Essex Junction, Vermont

NPI Number1396984548
Practice location
15 Pinecrest Dr, Essex Junction, VT 05452-2912
Fax
802-878-4404
Last updated
February 11, 2009

Bethany A. Lieberman is a Psychologist, Clinical based in Essex Junction, VT. Bethany A. Lieberman practices in Essex Junction, VT and has the professional credentials of PSYD. The NPI Number for Bethany A. Lieberman is 1396984548 and holds a License No. 0480000920 (VT). The current practice location address for Bethany A. Lieberman is 15 Pinecrest Dr, Essex Junction, VT 05452-2912 and can be reached out via phone at 802-288-1087 and via fax at 802-878-4404.

Provider Profile Details

NPI Number
1396984548
Provider Name
Bethany A. Lieberman
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
15 Pinecrest Dr, Essex Junction, VT 05452-2912
Phone Number
802-288-1087
Fax Number
802-878-4404
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
February 11, 2009
Last Update Date
February 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Pinecrest Dr
Essex Junction, VT 05452-2912
State
Vermont
Zip
05452-2912
Phone Number
802-288-1087
Fax Number
802-878-4404
Essex Junction, VT 05452Get directions →

Provider Business Mailing Address Details

Address
86 Lake St
Burlington, VT 05401-5297
City
Burlington
State
VT
Zip
05401-5297
Phone Number
802-865-3450
Fax Number
802-860-5011

License Information

License Number
0480000920
License State
VT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bethany A Lieberman, PSYD?

The NPI number of Dr. Bethany A Lieberman, PSYD is 1396984548. It was assigned on February 11, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Bethany A Lieberman, PSYD?

Dr. Bethany A Lieberman, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 0480000920.

Where does Dr. Bethany A Lieberman, PSYD practice?

The practice location is 15 Pinecrest Dr, Essex Junction, VT 05452-2912. The office can be reached at 802-288-1087 (phone) or 802-878-4404 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396984548 directly on the NPPES registry website.

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