Provider Demographics
NPI:1760620694
Name:PASKAY, LICIA COCEANI (MS, CCC-SLP, COM)
Entity Type:Individual
Prefix:MRS
First Name:LICIA
Middle Name:COCEANI
Last Name:PASKAY
Suffix:
Gender:F
Credentials:MS, CCC-SLP, COM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CORPORATE POINTE
Mailing Address - Street 2:SUITE 468
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-8730
Mailing Address - Country:US
Mailing Address - Phone:310-216-9496
Mailing Address - Fax:310-216-9019
Practice Address - Street 1:300 CORPORATE POINTE
Practice Address - Street 2:SUITE 468
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-8730
Practice Address - Country:US
Practice Address - Phone:310-216-9496
Practice Address - Fax:310-216-9019
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASLP13707235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist