Doctor Name: | MS. LISA J LIEBER-SUMMERS |
NPI Number: | 1124399175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSCSW |
License Number: | 2012002892 |
Business Practice Address: | 8000 Lee Blvd Leawood, KS - 662061217 |
Business Phone Number: | 9133814992 |
Business Fax Number: | |
Mailing Address: | 6248 W 155th St, OVERLAND PARK |
State: | KS |
Postal Code: | 662233593 |
Phone Number: | 9132398410 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2012 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2012002892 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |