| Doctor Name: | MRS. ELIZABETH ANN LILES |
| NPI Number: | 1174886089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | 4175 |
| Business Practice Address: | 5110 S. Yale Ave. Ste. 102 Tulsa, OK - 74135 |
| Business Phone Number: | 9184922386 |
| Business Fax Number: | 9186458686 |
| Mailing Address: | 5110 S. Yale Ave., Therapy 4 Kids TULSA |
| State: | OK |
| Postal Code: | 74135 |
| Phone Number: | 9184922386 |
| Fax Number: | 9186458686 |
| NPI Enumeration Date: | 06/18/2012 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4175 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| 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 |