Individual
ERICA HILL LICERALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4660 KITSAP WAY STE 200, BREMERTON, WA 98312-2357
(360) 373-2536
Mailing address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61591009
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2295148
—
WA
Enumeration date
08/02/2024
Last updated
11/20/2025
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