Provider Demographics
NPI:1780065961
Name:LICARI, ALANNA (MA)
Entity type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:LICARI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16715 12TH AVE APT 3C
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-2266
Mailing Address - Country:US
Mailing Address - Phone:631-741-4049
Mailing Address - Fax:
Practice Address - Street 1:15460 17TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3256
Practice Address - Country:US
Practice Address - Phone:718-746-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-14
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist