Active NPIIndividual provider

Laura Licuanan, MS, CCC-SLP

Speech-Language Pathologist, in Lexington, Massachusetts

NPI Number1265716245
Practice location
4 Militia Drive, Institute For Learning And Development, Lexington, MA 02421
Fax
—
Last updated
October 7, 2011

Laura Licuanan is a Speech-Language Pathologist, based in Lexington, MA. Laura Licuanan practices in Lexington, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Laura Licuanan is 1265716245 and holds a License No. 8086 (MA). The current practice location address for Laura Licuanan is 4 Militia Drive, Institute For Learning And Development, Lexington, MA 02421 and can be reached out via phone at 864-230-0495.

Provider Profile Details

NPI Number
1265716245
Provider Name
Laura Licuanan
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
4 Militia Drive, Institute For Learning And Development, Lexington, MA 02421
Phone Number
864-230-0495
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 7, 2011
Last Update Date
October 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Militia Drive
Institute For Learning And Development
Lexington, MA 02421
Zip
02421
Phone Number
864-230-0495
Lexington, MA 02421Get directions →

Provider Business Mailing Address Details

Address
123 Trenton St
Apt 1
East Boston, MA 02128-2536
City
East Boston
State
MA
Zip
02128-2536
Phone Number
864-230-0495

License Information

License Number
8086
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Laura Licuanan, MS, CCC-SLP?

The NPI number of Laura Licuanan, MS, CCC-SLP is 1265716245. It was assigned on October 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Laura Licuanan, MS, CCC-SLP?

Laura Licuanan, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 8086.

Where does Laura Licuanan, MS, CCC-SLP practice?

The practice location is 4 Militia Drive, Institute For Learning And Development, Lexington, MA 02421. The office can be reached at 864-230-0495 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265716245 directly on the NPPES registry website.

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