Provider Demographics
NPI:1962650580
Name:AUERBACH, LIZA (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:LIZA
Middle Name:
Last Name:AUERBACH
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 I ST # 119
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-0522
Mailing Address - Country:US
Mailing Address - Phone:800-905-1113
Mailing Address - Fax:
Practice Address - Street 1:326 I ST # 119
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0522
Practice Address - Country:US
Practice Address - Phone:707-681-0696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29706103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical