Active NPIIndividual providerSole proprietor

Mrs. Stacey L Liebross, MS CCC-SLP, BCBA

Speech-Language Pathologist, in Manalapan, New Jersey

NPI Number1346504404
Practice location
109 Beagle Dr, Manalapan, NJ 07726-8818
Fax
732-605-0568
Last updated
July 3, 2012

Stacey Laurel Liebross is a Speech-Language Pathologist, based in Manalapan, NJ. Stacey Laurel Liebross practices in Manalapan, NJ and has the professional credentials of MS CCC-SLP, BCBA. The NPI Number for Stacey Laurel Liebross is 1346504404 and holds a License No. 1-07-3858 (FL). The current practice location address for Stacey Laurel Liebross is 109 Beagle Dr, Manalapan, NJ 07726-8818 and can be reached out via phone at 732-605-0567 and via fax at 732-605-0568.

Provider Profile Details

NPI Number
1346504404
Provider Name
Stacey Laurel Liebross
Credential
MS CCC-SLP, BCBA
Provider Entity Type
Individual
Gender
Female
Address
109 Beagle Dr, Manalapan, NJ 07726-8818
Phone Number
732-605-0567
Fax Number
732-605-0568
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2012
Last Update Date
July 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
109 Beagle Dr
Manalapan, NJ 07726-8818
Zip
07726-8818
Phone Number
732-605-0567
Fax Number
732-605-0568
Manalapan, NJ 07726Get directions →

Provider Business Mailing Address Details

Address
109 Beagle Dr
Manalapan, NJ 07726-8818
City
Manalapan
State
NJ
Zip
07726-8818
Phone Number
732-605-0567
Fax Number
732-605-0568

License Information

License Number (1)
1-07-3858
License State (1)
FL
Taxonomy (1)
Behavior Analyst · 103K00000X
License Number (2)
41YS00366800
License State (2)
NJ
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Stacey L Liebross, MS CCC-SLP, BCBA?

The NPI number of Mrs. Stacey L Liebross, MS CCC-SLP, BCBA is 1346504404. It was assigned on July 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stacey L Liebross, MS CCC-SLP, BCBA?

Mrs. Stacey L Liebross, MS CCC-SLP, BCBA is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in FL under license number 1-07-3858.

Where does Mrs. Stacey L Liebross, MS CCC-SLP, BCBA practice?

The practice location is 109 Beagle Dr, Manalapan, NJ 07726-8818. The office can be reached at 732-605-0567 (phone) or 732-605-0568 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346504404 directly on the NPPES registry website.

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