Individual
MEGAN LICKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
8257 W RUE DE LAMOUR, PEORIA, AZ 85381-4096
(623) 238-1039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP11217
AZ
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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