Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043301369 Individual Practitioner Male Practitioner

Gerald Lieberg , SLP

Speech-Language Pathologist • Duluth, MN

Professional Overview & Biography Verified Profile Summary

Gerald Lieberg, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Duluth, MN. Practice services are available at 114 S 20TH AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

114 S 20th Ave W
Suite A

Duluth, MN 558063526

Telephone 2187214732
Associated Practice Facility / Clinic
🏢 Pathways To Achievement, Inc. Facility NPI 1356442065

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Duluth, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
103 Specialists

Practicing in Duluth, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 5157

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
616055700 (MN)
Commercial Insurance / Payer ID Health Partners
HP45807 (MN)
Commercial Insurance / Payer ID Bcbs
41D93LI (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Amy Mcclellan

Occupational Therapy Assistant

NPI 1003182569
Cathryn Andberg , OT

Occupational Therapist

NPI 1437424405

Occupational Therapist

Linda Farrell , PT

Physical Therapist

NPI 1457780645

Physical Therapist

Brenda Ehnes , RN BA MA

Registered Nurse

NPI 1528333507

RNBAMA

Diane Palmstein

Physical Therapy Assistant

NPI 1568737005
Kim Hart

Physical Therapy Assistant

NPI 1649545187

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2017

Registered at 114 S 20TH AVE W, SUITE A, DULUTH, MN 558063526 (Tel: 2187214732)

📍
Updated Business Mailing Address March 28, 2017

Registered at 114 S 20TH AVE W, SUITE A, DULUTH, MN 558063526 (Tel: 2187214732)

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as GERALD LIEBERG, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2017

Speech-Language Pathologist (License #5157 in MN)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 811 3RD ST, CARLTON, MN 557189228 (Tel: 7636895385)

📍
Updated Business Mailing Address July 09, 2007

Registered at 811 3RD ST, CARLTON, MN 55718

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as GERALD LIEBERG, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #5157 in MN)

🟢
Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043301369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: March 28, 2017
Sole Proprietor: No

Mailing Address

114 S 20th Ave W, Suite A

Duluth, MN 558063526

Phone: 2187214732

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.