Provider Demographics
NPI:1407931884
Name:LIBERMAN DE PALLANZA, NOEMI ELSA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:NOEMI
Middle Name:ELSA
Last Name:LIBERMAN DE PALLANZA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:NOEMI
Other - Middle Name:ELSA
Other - Last Name:LIBERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:3511 LINDEN PL APT 2R
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2849
Mailing Address - Country:US
Mailing Address - Phone:718-661-3684
Mailing Address - Fax:
Practice Address - Street 1:3511 LINDEN PL APT 2R
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2849
Practice Address - Country:US
Practice Address - Phone:718-661-3684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003279-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health