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MRS. ALICIA ANA OTERO MA; CCC-SLP
NPI 1063666188
Speech-Language Pathologist in Ponte Vedra, FL

Active since November 17, 2008
30 TAVERNIER DR UNIT B, PONTE VEDRA, FL 32081(904) 404-2345(904) 789-6295 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Alicia Ana Otero Ma; Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ALICIA ANA OTERO MA; CCC-SLP (NPI 1063666188) is an individual speech-language pathologist provider in Ponte Vedra, Florida, licensed in Florida (SA20931) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1063666188
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. ALICIA ANA OTEROCredential: MA; CCC-SLP
Location Address30 TAVERNIER DR UNIT BPonte Vedra, FL 32081-0677
Mailing Address30 Tavernier Dr Unit BPonte Vedra, FL 32081-0677 · (904) 844-3136 · Fax (904) 789-6295
Phone(904) 404-2345
Fax(904) 789-6295
Sole ProprietorYes
Enumeration DateNovember 17, 2008
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1063666188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in FL · SA20931✔ Licensed in NY · 017816
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
30 TAVERNIER DR UNIT B, Ponte Vedra, FL 32081
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL WARE OTD, OTR/L
Occupational Therapist
30 TAVERNIER DR UNIT B
PONTE VEDRA, FL 32081
St. Johns County (904) 404-2345
PONTE VEDRA SPEECH THERAPY LLC
Speech-Language Pathologist
30 TAVERNIER DR UNIT B
PONTE VEDRA, FL 32081
St. Johns County (904) 844-3136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Otero's NPI number?

The NPI number for Alicia Otero is 1063666188. It was assigned to this individual provider in the NPPES registry on November 17, 2008.

Where is Alicia Otero located?

Alicia Otero practices at 30 Tavernier Dr Unit B, Ponte Vedra, FL 32081. The listed phone number is (904) 404-2345.

What is Alicia Otero's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Alicia Otero was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.