Gerald Lieberg SLP

NPI 1043301369 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1043301369
Gender Male
Enumeration Date 09/28/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
811 3RD ST
CARLTON MN, 55718-9228, US
Phone (763) 689-5385
Fax
Business Location
811 3RD ST
CARLTON MN, 55718, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Minnesota
License Number 5157
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According to our database, Gerald Lieberg SLP NPI is 1043301369, taxonomy code is 235Z00000X and license number is 5157, license state is located at Minnesota. Gerald Lieberg SLP physically located at 811 3rd St, Carlton MN, 55718-9228. NPI Number Gerald Lieberg SLP has the Individual type.

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1043301369 NPI number is provided on an as is basis without warranty of any kind. 1043301369 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Lieberg SLP are for informational purposes only.