Provider Demographics
NPI:1083648331
Name:ERROL LIEBOWITZ PHD
Entity Type:Organization
Organization Name:ERROL LIEBOWITZ PHD
Other - Org Name:COASTAL VIRGINIA PSYCHOLOGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-499-1694
Mailing Address - Street 1:333 KELLAM RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-2746
Mailing Address - Country:US
Mailing Address - Phone:757-499-1694
Mailing Address - Fax:757-499-1696
Practice Address - Street 1:333 KELLAM RD STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-499-1694
Practice Address - Fax:757-499-1696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty