Provider Demographics
NPI:1215123997
Name:LIMBERG, ELIZABETH MARY (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MARY
Last Name:LIMBERG
Suffix:
Gender:F
Credentials:PHD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2387 LISA LN OFC
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3990
Mailing Address - Country:US
Mailing Address - Phone:916-215-1893
Mailing Address - Fax:925-677-7444
Practice Address - Street 1:2387 LISA LN OFC
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3990
Practice Address - Country:US
Practice Address - Phone:916-215-1893
Practice Address - Fax:925-677-7444
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17418103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical