Licenni M Capellan
Speech-Language Pathologist, in Cliffside Pk, New Jersey
1548164718- Practice location
- 25 Edgewater RD, Cliffside Pk, NJ 07010-2804
- Phone
- 310-906-7439
- Fax
- —
- Last updated
- October 2, 2026
Licenni M Capellan is a Speech-Language Pathologist, based in Cliffside Pk, NJ. Licenni M Capellan practices in Cliffside Pk, NJ. The NPI Number for Licenni M Capellan is 1548164718 and holds a License No. 3540061 (NY). The current practice location address for Licenni M Capellan is 25 Edgewater RD, Cliffside Pk, NJ 07010-2804 and can be reached out via phone at 310-906-7439.
Provider Profile Details
- NPI Number
- 1548164718
- Provider Name
- Licenni M Capellan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Edgewater RD, Cliffside Pk, NJ 07010-2804
- Phone Number
- 310-906-7439
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 2, 2026
- Last Update Date
- October 2, 2026
- Certification Date
- October 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Edgewater RD
Cliffside Pk, NJ 07010-2804 - City
- Cliffside Pk
- State
- New Jersey
- Zip
- 07010-2804
- Phone Number
- 310-906-7439
Provider Business Mailing Address Details
- Address
- 25 Edgewater RD
Cliffside Pk, NJ 07010-2804 - City
- Cliffside Pk
- State
- NJ
- Zip
- 07010-2804
- Phone Number
- 310-906-7439
License Information
- License Number
- 3540061
- License State
- NY
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Licenni M Capellan?
The NPI number of Licenni M Capellan is 1548164718. It was assigned on October 2, 2026 and is currently active in the NPPES registry.
What is the specialty of Licenni M Capellan?
Licenni M Capellan is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 3540061.
Where does Licenni M Capellan practice?
The practice location is 25 Edgewater RD, Cliffside Pk, NJ 07010-2804. The office can be reached at 310-906-7439 (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 1548164718 directly on the NPPES registry website.