| Catherine A Liebhauser Md Llc | |
|
24 Portland Pl Montclair NJ 07042-2822 | |
| (973) 746-7712 | |
| (201) 462-3847 |
| Full Name | Catherine A Liebhauser Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 24 Portland Pl, Montclair, New Jersey |
| Authorized Official Name and Position | Catherine A Liebhauser (OWNER) |
| Authorized Official Contact | 9737467712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine A Liebhauser Md Llc 10 Crestmont Rd Apt 6r Montclair NJ 07042-1936 Ph: (973) 746-7712 | Catherine A Liebhauser Md Llc 24 Portland Pl Montclair NJ 07042-2822 Ph: (973) 746-7712 |
| NPI Number | 1477858694 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 02/24/2022 |
| Certification Date | 02/24/2022 |
| Medicare PECOS PAC ID | 0042497588 |
|---|---|
| Medicare Enrollment ID | O20110609000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477858694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA56760 (New Jersey) | Primary |
| Provider Name | Catherine A Liebhauser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497782775 PECOS PAC ID: 6002818069 Enrollment ID: I20070205000659 |
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