NPI 1811052525 KELLY RADFORD LICQUIA MS, CCC-SLP NEW BERN NC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kelly Radford Licquia - NPI: 1811052525

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KELLY RADFORD LICQUIA
NPI Number: 1811052525
Entity Type Code: Individual (1)
Gender: F
Credentials: MS, CCC-SLP
License Number: 6118
Business Practice Address: 606 Madame Moores Ln
New Bern, NC - 285626442
Business Phone Number: 2527178005
Business Fax Number: 2526336770
Mailing Address: 606 Madame Moores Ln,
NEW BERN
State: NC
Postal Code: 285626442
Phone Number: 2527178005
Fax Number: 2526336770
NPI Enumeration Date: 12/22/2006
NPI Last Update Date: 07/09/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 6118
Healthcare Provider Taxonomy:
(Secondary)
Y
State: NC
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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