Provider Demographics
NPI:1811333834
Name:COLBY, LIZA H (PSYD)
Entity type:Individual
Prefix:DR
First Name:LIZA
Middle Name:H
Last Name:COLBY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 STILES RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2845
Mailing Address - Country:US
Mailing Address - Phone:603-785-1126
Mailing Address - Fax:
Practice Address - Street 1:48 STILES RD STE 103
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2845
Practice Address - Country:US
Practice Address - Phone:603-785-1126
Practice Address - Fax:603-458-7700
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1285103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist