Provider Demographics
NPI:1538697149
Name:LIEBERMAN, KATE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:
Last Name:LIEBERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 S WASHINGTON ST STE 103
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3626
Mailing Address - Country:US
Mailing Address - Phone:703-827-1900
Mailing Address - Fax:
Practice Address - Street 1:910 17TH ST NW STE 412
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-2601
Practice Address - Country:US
Practice Address - Phone:202-499-4000
Practice Address - Fax:703-827-1919
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025639103TC0700X
DC200001535103TC0700X
VA0810006357103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical