Provider Demographics
NPI:1407071004
Name:LIEBMAN, AARON H (AUD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:H
Last Name:LIEBMAN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 37TH PLACE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960
Mailing Address - Country:US
Mailing Address - Phone:772-562-5100
Mailing Address - Fax:772-562-5938
Practice Address - Street 1:925 37TH PLACE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-562-5100
Practice Address - Fax:772-562-5938
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1050231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS2265AMedicare ID - Type Unspecified