Doctor Name: | WILLIAM PERRY LILES |
NPI Number: | 1164656856 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC/SLP |
License Number: | 1042 |
Business Practice Address: | 8075 Madison Blvd Suite 108 Madison, AL - 357582041 |
Business Phone Number: | 2566569440 |
Business Fax Number: | |
Mailing Address: | 8075 Madison Blvd, Suite 108 MADISON |
State: | AL |
Postal Code: | 357582041 |
Phone Number: | 2566569440 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2009 |
NPI Last Update Date: | 05/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |