Healthcare Provider Details

I. General information

NPI: 1174955561
Provider Name (Legal Business Name): SARA REIFMAN-LIENERT MA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16300 LINCOLN DR
SOUTHFIELD MI
48076-7221
US

IV. Provider business mailing address

13311 TALBOT AVE
HUNTINGTON WOODS MI
48070-1027
US

V. Phone/Fax

Practice location:
  • Phone: 248-746-7423
  • Fax:
Mailing address:
  • Phone: 248-514-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101003714
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: