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:
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Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891948469 NPPES
Florida MEDICAID 000828900
Florida MEDICAID 001689700

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