Provider Demographics
NPI:1659403681
Name:LIBERMAN, LUCIA (MS, MFT)
Entity Type:Individual
Prefix:MRS
First Name:LUCIA
Middle Name:
Last Name:LIBERMAN
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13302 HATTERAS ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-4017
Mailing Address - Country:US
Mailing Address - Phone:818-994-1338
Mailing Address - Fax:
Practice Address - Street 1:13302 HATTERAS ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-4017
Practice Address - Country:US
Practice Address - Phone:818-994-1338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 33696106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist