Mckenzie, Alicia
Mckenzie, Alicia is an sole proprietor health care provider with primary practice located at 1013 Enon Ct , St Augustine FL 32092-0431. She recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Adult Companion, Agencies / Early Intervention Provider Agency. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Mckenzie, Alicia can be contacted via phone (904) 940-4795.Contact Information
Primary practice address
1013 Enon Ct
St Augustine FL 32092-0431
Phone: (904) 940-4795
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 9049 | Florida |
Nursing Service Related Providers / Homemaker | 376J00000X | ||
Nursing Service Related Providers / Adult Companion | 372600000X | ||
Agencies / Early Intervention Provider Agency | 252Y00000X |
Profile Details
NPI number | 1891948469 |
---|---|
LBN Legal business name | Mckenzie, Alicia |
Credentials | M.S. CCC-SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 28th, 2008 |
Last updated | Oct 23rd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891948469 | NPPES |
Florida | MEDICAID | 000828900 | |
Florida | MEDICAID | 001689700 |
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