Liliane Azevedo, M.A., CCC-SLP
Speech-Language Pathologist, in Long Island City, NY. Individual provider (NPI-1).
NPI number1124375019
StatusActive
Last updated in NPPESJun 6, 2014
Details
- NPI
- 1124375019
- Entity type
- Individual (NPI-1)
- Name
- Liliane Azevedo
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2012
- Last updated
- Jun 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 022312-1 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3100 47th Ave#2120d
Long Island City, NY 11101-3013
Phone 718-593-4121
Mailing address
3100 47th Ave#2120d
Long Island City, NY 11101-3013
Phone 718-593-4121
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All 142 Speech-Language Pathologist providers in Long Island City · All 2,780 providers in Long Island City
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