Provider Demographics
NPI:1861540478
Name:LIEBERMAN, BETSY MAE (MFT)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:MAE
Last Name:LIEBERMAN
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 1:3405 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1913
Mailing Address - Country:US
Mailing Address - Phone:415-771-7372
Mailing Address - Fax:408-972-3242
Practice Address - Street 1:3405 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1913
Practice Address - Country:US
Practice Address - Phone:415-771-7372
Practice Address - Fax:408-972-3242
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist