Individual
MRS. JIA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1502 MAIN ST, GREENSBORO, AL 36744-1552
(205) 575-1609
(334) 624-3960
Mailing address
3225 MUNSEY CT, CUMMING, GA 30041-9313
(205) 799-5003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1729
AL
235Z00000X
Speech-Language Pathologist
2894
MS
235Z00000X
Speech-Language Pathologist
Primary
SLP008215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146617
—
AL
05
—
890016790
—
AL
Enumeration date
03/20/2007
Last updated
07/08/2016
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