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MRS. JIA LIU MS, CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1932224854
Individual Registrant:MRS. JIA LIU MS, CCC-SLP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1502 MAIN ST GREENSBORO, AL 36744-1552 US
Tel: 205-575-1609 Fax: 334-624-3960
Tel: 205-575-1609 Fax: 334-624-3960
Contact information for business:
3225 MUNSEY CT CUMMING, GA 30041-9313 US
Tel: 205-799-5003 Fax: --
Tel: 205-799-5003 Fax: --
Registration Information:
NPI: 1932224854
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AL | 1729 |
| N | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | MS | 2894 |
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | GA | SLP008215 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 146617 | AL | 05 | |
| 890016790 | AL | 05 |
