Kelly Radford Licquia in Tallahassee - Speech-language Pathologist
Kelly Radford Licquia - NPI 1811052525
Kelly Radford Licquia is a Speech-language Pathologist in Tallahassee, Florida. Kelly Radford Licquia practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Radford Licquia is 1811052525. The last update date is 2023-11-02.
Kelly Radford Licquia's current location address is 3711 Shamrock W Apt N264, Tallahassee, Florida. You can contact this provider via phone number 8505662944. The mailing address for Kelly Radford Licquia is 3711 Shamrock W Apt N264, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Radford Licquia |
|---|---|
| Address | 3711 Shamrock W Apt N264, Tallahassee, Florida |
| Phone Number | 8505662944 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1811052525 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2023-11-02 |
Provider Mailing Address Detail
| Address | 3711 Shamrock W Apt N264 |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 323092699 |
| Phone Number | 8505662944 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SA13231 |
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Definition: 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. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12952300 | FL | -- | |
| 13610500 | FL | -- | |
| 7412328 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Radford Licquia by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Radford Licquia has been assigned the NPI (National Provider Identifier) 1811052525. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kelly Radford Licquia's facilities are situated?
The facilities of Kelly Radford Licquia are physically located at the following address: 3711 Shamrock W Apt N264, Tallahassee, FL, 323092699.
What is Kelly Radford Licquia's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Radford Licquia is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
When did the Kelly Radford Licquia receive its 1811052525?
The Kelly Radford Licquia was issued its 1811052525 on 2006-12-22, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kelly Radford Licquia most recently updated or revised?
The details related to Kelly Radford Licquia, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-02.