Doctor Name: | MS. CINDY S LIBMAN |
NPI Number: | 1013023381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW LMFT |
License Number: | 00102LICSW |
Business Practice Address: | 6550 York Ave Suite 207 Edina, MN - 55435 |
Business Phone Number: | 9529227679 |
Business Fax Number: | 9529220339 |
Mailing Address: | 6550 York Ave, Suite 207 EDINA |
State: | MN |
Postal Code: | 55435 |
Phone Number: | 9529227679 |
Fax Number: | 9529220339 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00102LICSW |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |