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NPI Code Detail

MEDICARE: LICIA M STERBINSKY M.S.,CCC-SLP

MEDICARE: LICIA M STERBINSKY M.S.,CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA11319FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SA11319OTHERFLDOH

General Provider Information

NPI Number : 1023457348
Entity Type Code : Individual
Provider Name (Legal Business Name) : LICIA M STERBINSKY M.S.,CCC-SLP
Provider Business Mailing Address
First Line : 6284 SE 127TH PL
Second Line :
City : BELLEVIEW
State : FL
Zip : 34420-5904
Country : US
Telephone Number : 941-416-4317
Fax Number :
Provider Business Practice Location Address
First Line : 7000 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5749
Country : US
Telephone Number : 407-303-9564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 06/19/2013

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Directions to “ LICIA M STERBINSKY M.S.,CCC-SLP” Practice Location

Language Start Address Practice Location
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