Anna B Lifvergren, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60567939 Issued in WA

Practice address

14 Southside Rd
York, ME 03909-5117

Phone

(617) 620-1527

NPI assigned

Sep 18, 2015

Last updated

Sep 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1952770075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SOUTHSIDE RD",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039095117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SOUTHSIDE RD",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039095117",
            "telephone_number": "617-620-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFVERGREN",
        "first_name": "ANNA",
        "middle_name": "B",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60567939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Leigh Lesneski, LCPC
• Reid Dalton Lesneski, LCPC, LADC
• Kalina Lesseva
• Lydia Levasseur
• Shelby L. Levesque, LMFT
• Lighthouse Diabetes Center
• Lisa Morgan Consulting LLC
• Living Seed Consult PLLC
• Jenna L. Lizewski, CNP
• Jeffrey Michael Lockhart, MD

• Speech-Language Pathologist in York, ME
• Providers in York, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.