Provider Demographics
NPI:1891453007
Name:SYKES, VERONICA CARIDAD (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:CARIDAD
Last Name:SYKES
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8227 NORTHLAKE PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-6917
Mailing Address - Country:US
Mailing Address - Phone:954-540-4044
Mailing Address - Fax:
Practice Address - Street 1:8227 NORTHLAKE PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-6917
Practice Address - Country:US
Practice Address - Phone:954-540-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-05
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA12489235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty