| Doctor Name: | LIZA MARIE HEVIA |
| NPI Number: | 1801965066 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PROVISIONAL |
| License Number: | SZ 4792 |
| Business Practice Address: | 11005 Sw 186th St Cutler Bay, FL - 331576810 |
| Business Phone Number: | 3053785775 |
| Business Fax Number: | |
| Mailing Address: | 8802 Nw 178th Ln, HIALEAH |
| State: | FL |
| Postal Code: | 330186546 |
| Phone Number: | 3058209159 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 07/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SZ 4792 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |