GERALD LIEBERG SLP NPI 1043301369

NPI Information

  • NPI: 1043301369
  • Provider Name: GERALD LIEBERG, SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 114 S 20TH AVE W
    SUITE A
    DULUTH, MN
    ZIP 55806
  • Phone: (218) 721-4732

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NPI Details

Gerald Lieberg, SLP is a speech language pathologist in Duluth, MN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Gerald Lieberg, SLP NPI is 1043301369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 S 20TH AVE W
SUITE A
DULUTH, MN
ZIP 55806-526
Phone: (218) 721-4732

The enumeration date for this NPI number is 9/28/2006 and was last updated on 3/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist5157MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141D93LIOTHERMINNESOTABCBS
2HP45807OTHERMINNESOTAHEALTH PARTNERS
3246533MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAHDR
4616055700MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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