Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BROOKS MARIE LIEDERBACH, LPN
Active Sole ProprietorPsychiatric Residential Treatment Facility · MANSFIELD, OH
Registration Details
- NPI Number
- 1871030049
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2017 (9.2349164551015 yrs)
- Last Updated
- Jan 26, 2017
- License
-
138428.MEDS-IV (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1451 LUCAS RDMANSFIELD, OH, 449038682Browse OH providers · Browse ZIP 44903
- Phone
- 4195895511
- Fax
- 4195897381
- Primary Specialty
-
Psychiatric Residential Treatment Facility
323P00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.