Provider Demographics
NPI:1568781466
Name:LIU, XUEMAN LUCY (CCC-A/FAAA, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:XUEMAN
Middle Name:LUCY
Last Name:LIU
Suffix:
Gender:F
Credentials:CCC-A/FAAA, CCC-SLP
Other - Prefix:DR
Other - First Name:LUCY
Other - Middle Name:X
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-A/FAAA, CCC-SLP
Mailing Address - Street 1:14414 SHOREDALE LN
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2050
Mailing Address - Country:US
Mailing Address - Phone:214-734-4776
Mailing Address - Fax:
Practice Address - Street 1:14414 SHOREDALE LN
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-2050
Practice Address - Country:US
Practice Address - Phone:214-734-4776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60520231H00000X
TX101194235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist