Most Relevant Information
Provider Data
NPI Number: | 1003262379 |
Provider Name: | ANNE MARIE C LIESER |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | SZ7146 |
Most Important Dates
Enumeration Date: | 05/05/2016 |
Last Updated: | 04/21/2022 |
Provider Practice Location
5225 CENTRAL AVE
ST PETERSBURG
FL
337108141
Practice Location Phone/Fax
Phone: | 7279545635 |
Fax: | 7279146904 |
Provider Mailing Location
5225 CENTRAL AVE
ST PETERSBURG
FL
337108141
Provider Mailing Phone/Fax
Phone: | 7279545635 |
Fax: |