KAITLYN TAYLOR LICATA

RONKONKOMA, NY
NPI1851077028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2023-06-23
Last Update Date2023-06-23
Business Address
KAITLYN TAYLOR LICATA
624 HAWKINS AVE
RONKONKOMA, NY 11779-2375
Phone number: 631-240-3579
Mailing Address
KAITLYN TAYLOR LICATA
274 BERDIE AVE
HOLBROOK, NY 11741-3305
Phone number: 631-487-1914