KAITLYN TAYLOR LICATA
NPI 1851077028
Speech-Language Pathologist in Ronkonkoma, NY

Active since June 23, 2023
624 HAWKINS AVE, RONKONKOMA, NY 11779(631) 240-3579 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaitlyn Taylor Licata NPPES

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

KAITLYN TAYLOR LICATA (NPI 1851077028) is an individual speech-language pathologist provider in Ronkonkoma, New York and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1851077028
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKAITLYN TAYLOR LICATA
Location Address624 HAWKINS AVERonkonkoma, NY 11779-2375
Mailing Address274 Berdie AveHolbrook, NY 11741-3305 · (631) 487-1914
Sole ProprietorYes
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
NPI 1851077028 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
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.

624 HAWKINS AVE, Ronkonkoma, NY 11779

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Optometrist
624 HAWKINS AVE, SUITE #1
LAKE RONKONKOMA, NY 11779
Optometrist (Low Vision Rehabilitation)
624 HAWKINS AVE, SUITE 1
RONKONKOMA, NY 11779
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Student in an Organized Health Care Education/Training Program
624 HAWKINS AVE
RONKONKOMA, NY 11779
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Speech-Language Pathologist
624 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851077028, enumerated as an "individual" on June 23, 2023.

The provider is located at 624 HAWKINS AVE RONKONKOMA, NY 11779 and the phone number is (631) 240-3579.

Speech-Language Pathologist with taxonomy code 235Z00000X.