MEDICARE: SYDNEY NICOLE ANLIKER M.S CF-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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1275364291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY NICOLE ANLIKER M.S CF-SLP

Provider Business Mailing Address
First Line	:	235 CITRUS TOWER BLVD STE 105
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-2711
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 CITRUS TOWER BLVD STE 105
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-2711
Country	:	US
Telephone Number	:	321-972-4122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	08/12/2024

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Directions to “ SYDNEY NICOLE ANLIKER M.S CF-SLP” Practice Location

Language	Start Address	Practice Location

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