Doctor Name: | MEAGAN E. LIEBER |
NPI Number: | 1023165677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 12096018 |
Business Practice Address: | 2400 W. Main Jacksonville, AR - 720764212 |
Business Phone Number: | 5019820528 |
Business Fax Number: | 5015336327 |
Mailing Address: | 2520 W. Main, JACKSONVILLE |
State: | AR |
Postal Code: | 720764214 |
Phone Number: | 5019820528 |
Fax Number: | 5015336327 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12096018 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |