Provider Demographics
NPI:1083811715
Name:LIEBMAN, SARAH ELIZABETH CHURCH (MFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH CHURCH
Last Name:LIEBMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 SAN PABLO AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-2275
Mailing Address - Country:US
Mailing Address - Phone:510-559-7822
Mailing Address - Fax:510-295-2468
Practice Address - Street 1:1035 SAN PABLO AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-2275
Practice Address - Country:US
Practice Address - Phone:510-292-7367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist