Gerald Lieberg in Duluth - Speech-language Pathologist

Gerald Lieberg - NPI 1043301369

Gerald Lieberg is a Speech-language Pathologist in Duluth, Minnesota. Gerald Lieberg practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Gerald Lieberg is 1043301369. The last update date is 2017-03-28.

Gerald Lieberg's current location address is 114 S 20th Ave W, Duluth, Minnesota. You can contact this provider via phone number 2187214732. The mailing address for Gerald Lieberg is 114 S 20th Ave W, Duluth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald Lieberg
Address 114 S 20th Ave W, Duluth, Minnesota
Phone Number 2187214732
Fax Number
Sole Proprietor N
Credentials SLP

NPI Number Detail

NPI Number 1043301369
Provider Enumeration Date 2006-09-28
Last Updated Date 2017-03-28

Provider Mailing Address Detail

Address 114 S 20th Ave W
City Duluth
State Minnesota (MN)
Post Code 558063526
Phone Number 2187214732
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 5157
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
616055700 MN --
HP45807 MN HEALTH PARTNERS
41D93LI MN BCBS

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FAQs about Gerald Lieberg

What is the unique 10-digit identification code assigned to Gerald Lieberg by the Centers for Medicare & Medicaid Services?

The Gerald Lieberg has been issued the NPI (National Provider Identifier) 1043301369, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gerald Lieberg's facilities are geographically located?

The facilities of Gerald Lieberg are physically situated at the following location: 114 S 20Th Ave W, Duluth, MN, 558063526.

What is Gerald Lieberg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gerald Lieberg is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1043301369 to Gerald Lieberg?

The Gerald Lieberg received its 1043301369 assignment from the Centers for Medicare & Medicaid Services on 2006-09-28.

When was the information pertaining to Gerald Lieberg most recently updated or revised?

The details related to Gerald Lieberg, including its address, specialty, and other relevant information, were last updated or revised on 2017-03-28.

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