Doctor Name: | PETER LIELBRIEDIS |
NPI Number: | 1063681666 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 0810002781 |
Business Practice Address: | 4601 Ironbound Road 8791 Williamsburg, VA - 231878791 |
Business Phone Number: | 7572535244 |
Business Fax Number: | |
Mailing Address: | 102 Marcy Dr, YORKTOWN |
State: | VA |
Postal Code: | 236932039 |
Phone Number: | 7575994698 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810002781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |