Elizabeth Ann Liles, M.S. CCC-SLP
Speech-Language Pathologist, in Austin, TX. Individual provider (NPI-1).
NPI number1174886089
StatusActive
Last updated in NPPESSep 17, 2021
Details
- NPI
- 1174886089
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elizabeth Ann Liles
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2012
- Certification date
- Aug 31, 2021
- Last updated
- Sep 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 115414 | TX | Yes |
| 235Z00000X | Speech-Language Pathologist, | 4175 | OK | |
| 235Z00000X | Speech-Language Pathologist, | 263107912 | OK |
Practice location
4219 Bee Creek RoadAustin, TX 78738-7873
Phone 512-533-3021 · Fax 737-931-3000
Mailing address
5110 S. Yale Ave.Therapy 4 Kids
Tulsa, OK 74135
Phone 918-492-2386 · Fax 918-645-8686
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