Active NPIIndividual providerSole proprietor

Carly A Licameli, MA, CCC-SLP

Speech-Language Pathologist, in Nutley, New Jersey

NPI Number1326560772
Practice location
108 Conover Ave, Nutley, NJ 07110-3398
Fax
—
Last updated
July 21, 2022

Carly Ann Licameli is a Speech-Language Pathologist, based in Nutley, NJ. Carly Ann Licameli practices in Nutley, NJ and has the professional credentials of MA, CCC-SLP. The NPI Number for Carly Ann Licameli is 1326560772 and holds a License No. 14094243 (NJ). The current practice location address for Carly Ann Licameli is 108 Conover Ave, Nutley, NJ 07110-3398 and can be reached out via phone at 973-204-8045.

Provider Profile Details

NPI Number
1326560772
Provider Name
Carly Ann Licameli
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
108 Conover Ave, Nutley, NJ 07110-3398
Phone Number
973-204-8045
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 7, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Conover Ave
Nutley, NJ 07110-3398
City
Nutley
Zip
07110-3398
Phone Number
973-204-8045
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
108 Conover Ave
Nutley, NJ 07110-3398
City
Nutley
State
NJ
Zip
07110-3398
Phone Number
973-204-8045

License Information

License Number
14094243
License State
NJ
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 Carly A Licameli, MA, CCC-SLP?

The NPI number of Carly A Licameli, MA, CCC-SLP is 1326560772. It was assigned on July 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Carly A Licameli, MA, CCC-SLP?

Carly A Licameli, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 14094243.

Where does Carly A Licameli, MA, CCC-SLP practice?

The practice location is 108 Conover Ave, Nutley, NJ 07110-3398. The office can be reached at 973-204-8045 (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 1326560772 directly on the NPPES registry website.

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