Individual provider · Type 1 NPI

Camden Jaye Lieberman

Developmental Therapist · Rockford, MI

NPI number 1265301121 Active

Practice location

6820 Madrone Dr
Rockford, MI 49341-9578

Fax (773) 496-7141

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1265301121

Camden Jaye Lieberman's National Provider Identifier is 1265301121, issued on Oct 30, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Rockford, MI. The record was last updated on Oct 30, 2025.