Provider Demographics
NPI:1811141054
Name:DANIELS, ALICIA RAMOS (MA, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:RAMOS
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20001 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1872
Mailing Address - Country:US
Mailing Address - Phone:718-224-0490
Mailing Address - Fax:
Practice Address - Street 1:20001 42ND AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1872
Practice Address - Country:US
Practice Address - Phone:718-224-0490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018675-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist