SHELLY LICCIARDI SLP
NPI 1407394711
Speech-Language Pathologist in San Luis Obispo, CA

Q: What is Shelly Licciardi's NPI number?

The NPI number for Shelly Licciardi is 1407394711. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Q: What is Shelly Licciardi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelly Licciardi was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 07, 2017

1500 LIZZIE ST, SAN LUIS OBISPO, CA 93401(805) 596-4040 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2026, Feb 7, 2017 (2 updates tracked since 2017).

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About Shelly Licciardi Slp NPPES

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

SHELLY LICCIARDI SLP (NPI 1407394711) is an individual speech-language pathologist provider in San Luis Obispo, California, licensed in California (11341) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1407394711

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHELLY LICCIARDICredential: SLP

Location Address1500 LIZZIE STSan Luis Obispo, CA 93401-3062

Mailing Address360 Sage StSan Luis Obispo, CA 93401-6803 · (805) 234-2614

Phone(805) 596-4040

Sole ProprietorNo

Enumeration DateFebruary 7, 2017

Last NPPES UpdateMay 4, 20262 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1407394711 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

License✔ Licensed in CA · 11341

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.

1500 LIZZIE ST, San Luis Obispo, CA 93401

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Other Providers at the Same Location NPPES 14

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

STEPHANIE TEAGUE

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