Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Taylor Licata

Individual provider Speech-Language Pathologist · NPI 1851077028

Kaitlyn Taylor Licata is a Speech-Language Pathologist in Ronkonkoma, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

624 Hawkins Ave
Ronkonkoma, NY 11779-2375
Phone: (631) 240-3579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1851077028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2023
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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