| Bobbie Liechty, MA, CCC-SLP | |
|
585 N 400 E, Providence, UT 84332-9525 | |
| (435) 512-9536 | |
| Not Available |
| Full Name | Bobbie Liechty |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 585 N 400 E, Providence, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417528738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 11995049-4102 (Utah) | Primary |
| Provider Name | Utah State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235374984 PECOS PAC ID: 3476715491 Enrollment ID: O20120508000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Bobbie Liechty, MA, CCC-SLP 585 N 400 E, Providence, UT 84332-9525 Ph: Not Available | Bobbie Liechty, MA, CCC-SLP 585 N 400 E, Providence, UT 84332-9525 Ph: (435) 512-9536 |
Mrs. Heather Saxton Maughan, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 344 E Edgehill Dr, Providence, UT 84332 Phone: 435-512-8440 Fax: 435-787-2050 |
Susan Norton Dart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr Ste 210, Providence, UT 84332 Phone: 435-701-7010 Fax: 435-701-7012 |