Provider Demographics
NPI:1275688152
Name:BRIGLIA-LIBERATORI, ROSALIE A (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:ROSALIE
Middle Name:A
Last Name:BRIGLIA-LIBERATORI
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2585
Mailing Address - Country:US
Mailing Address - Phone:610-250-6453
Mailing Address - Fax:
Practice Address - Street 1:1412 SULLIVAN TRL
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-1114
Practice Address - Country:US
Practice Address - Phone:610-428-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004357101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional