Healthcare Provider Details

I. General information

NPI: 1316852866
Provider Name (Legal Business Name): BRIANNA ROSE LYBEER MA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4041 E MANNSIDING RD
CLARE MI
48617-9753
US

IV. Provider business mailing address

1010 NEIER RD
MOUNT PLEASANT MI
48858-1256
US

V. Phone/Fax

Practice location:
  • Phone: 989-386-3851
  • Fax: 989-386-3238
Mailing address:
  • Phone: 989-386-3851
  • Fax: 989-386-3238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101009609
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: