National Provider Identifier

Kim Marie Lickfeld, SLP

Kim Marie Lickfeld, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Orchard Park, NY and a listed phone number of (716) 662-4800.

NPI 1134305816Orchard Park, NYSpeech-Language Pathologist

Profile Overview

NPI
1134305816
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
January 13, 2008
Last Updated
January 13, 2008

Practice Location

  • 6167 W Quaker St
  • Orchard Park, NY 14127-2640

Phone: (716) 662-4800

Mailing Address

  • 121 Choate Ave
  • Buffalo, NY 14220-1951

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1134305816
Entity Type
Individual
Last Name
Lickfeld
First Name
Kim
Middle Name
Marie
Credential
SLP
Mailing Street Address
121 Choate Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-1951
Mailing Country
US
Mailing Phone
(716) 868-4624
Mailing Fax
(716) 662-5700
Practice Street Address
6167 W Quaker St
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2640
Practice Country
US
Practice Phone
(716) 662-4800
Practice Fax
(716) 662-5700
Enumeration Date
January 13, 2008
Last Updated
January 13, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)