Provider Demographics
NPI:1083622393
Name:ARIAS, LIZABELL (MSSLP)
Entity Type:Individual
Prefix:MRS
First Name:LIZABELL
Middle Name:
Last Name:ARIAS
Suffix:
Gender:F
Credentials:MSSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11861 BRANCH MOORING DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-6247
Mailing Address - Country:US
Mailing Address - Phone:813-546-8200
Mailing Address - Fax:
Practice Address - Street 1:11861 BRANCH MOORING DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-6247
Practice Address - Country:US
Practice Address - Phone:813-546-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7391235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist