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

Olivia Conrad, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1376923169

Olivia Conrad, MSCCC-SLP is a Qualified Speech Language Pathologist in Alachua, Florida. Qualified in 2008, 18 years ago. Works from 2 locations. Licensed in California, Florida, Michigan and South Carolina.

Years since qualifying
18
Licensed in
CA, FL, MI, SC
In the registry since
2015
Specialties on file
4

Practice location Address checks out

12420 NW 137th Ter
Alachua, FL 32615-7197
Phone: (850) 418-9011
Show map & directions

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

Additional practice locations (1)

  • 633 W 5th St # 2876b, Los Angeles, CA 90071-2005 — (512) 377-6318

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA10241 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 40506 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 7101009830 (MI)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 6662 (SC)

Record details

NPI number1376923169
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJune 5, 2015
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address12420 Nw 137th Ter, Alachua, FL 32615-7197

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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