Doctor Name: | ANN K LIBERA |
NPI Number: | 1083848576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 58009531 |
Business Practice Address: | 805 S Crouse Ave Syracuse, NY - 132440001 |
Business Phone Number: | 3154435761 |
Business Fax Number: | 3154434413 |
Mailing Address: | 805 S Crouse Ave, SYRACUSE |
State: | NY |
Postal Code: | 132440001 |
Phone Number: | 3154435761 |
Fax Number: | 3154434413 |
NPI Enumeration Date: | 05/12/2009 |
NPI Last Update Date: | 05/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 58009531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |