Doctor Name: | MR. JAMES A LIEDMAN |
NPI Number: | 1306817473 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, CCC, SLP |
License Number: | 2202000484 |
Business Practice Address: | 620 John Paul Jones Cir Naval Medical Center (code 0514) Portsmouth, VA - 237082111 |
Business Phone Number: | 7579532782 |
Business Fax Number: | |
Mailing Address: | 4225 Hawksley Dr, CHESAPEAKE |
State: | VA |
Postal Code: | 233215427 |
Phone Number: | 7574840734 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202000484 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |