Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alicia Ana Otero, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063666188

Mrs. Alicia Ana Otero, MA, CCC-SLP is a Speech-Language Pathologist in Ponte Vedra, Florida. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2008
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

30 Tavernier Dr Unit B
Ponte Vedra, FL 32081-0677
Phone: (904) 404-2345
Fax: (904) 789-6295
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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 SA20931 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 017816 (NY)

Record details

NPI number1063666188
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 17, 2008
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

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