NPI 1619978947 BRENDA LIDDLE SLP EDINA MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Brenda Liddle - NPI: 1619978947

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: BRENDA LIDDLE
NPI Number: 1619978947
Entity Type Code: Individual (1)
Gender: F
Credentials: SLP
License Number: 7924
Business Practice Address: 4010 W 65th St
Suite 105 Edina, MN - 554351721
Business Phone Number: 9522852840
Business Fax Number: 9522852830
Mailing Address: 4808 Valley View Rd,
EDINA
State: MN
Postal Code: 554241754
Phone Number:
Fax Number:
NPI Enumeration Date: 08/09/2005
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 7924
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
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


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