Individual
ASHLEY ZICCARELLI MCKILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Mailing address
273 PALISADE DR, ST AUGUSTINE, FL 32092-1138
(716) 864-8192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA11878
FL
Other
Enumeration date
05/25/2012
Last updated
09/15/2020
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