Provider Demographics
NPI:1598494759
Name:BICIC, DALILA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DALILA
Middle Name:
Last Name:BICIC
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W 60TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7941
Mailing Address - Country:US
Mailing Address - Phone:347-634-9677
Mailing Address - Fax:
Practice Address - Street 1:45 W 60TH ST APT 3A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7941
Practice Address - Country:US
Practice Address - Phone:347-634-9677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist