Individual
ALLISON LIEBNITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 TURTLE POND RD, SOUTHAMPTON, NY 11968-1639
(516) 297-5641
Mailing address
7 TURTLE POND RD, SOUTHAMPTON, NY 11968-1639
(516) 297-5641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015041
NY
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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