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

Liliane Azevedo, MA, CCC-SLP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124375019

Liliane Azevedo, MA, CCC-SLP is a Student in an Organized Health Care Education/Training Program in Long Island City, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3100 47th Ave #2120D
Long Island City, NY 11101-3013
Phone: (718) 593-4121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 022312-1 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124375019
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 9, 2012
Last updated in NPPESJune 6, 2014

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