| Doctor Name: | HESTER SIQUILLA LIEBETRAU |
| NPI Number: | 1043528235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD, HSPP, LMHC |
| License Number: | 20042665A |
| Business Practice Address: | 850 N Harrison St Warsaw, IN - 465803163 |
| Business Phone Number: | 5742677169 |
| Business Fax Number: | 5742695573 |
| Mailing Address: | 850 N Harrison St, Attn: Anne Lawson WARSAW |
| State: | IN |
| Postal Code: | 465803163 |
| Phone Number: | 5742677878 |
| Fax Number: | 5742695573 |
| NPI Enumeration Date: | 09/22/2010 |
| NPI Last Update Date: | 04/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 20042665A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |