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

Shelly Licciardi, SLP

Individual provider Speech-Language Pathologist · NPI 1407394711

Shelly Licciardi, SLP is a Speech-Language Pathologist in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

1500 Lizzie St
San Luis Obispo, CA 93401-3062
Phone: (805) 596-4040
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 11341 (CA)

Record details

NPI number1407394711
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedFebruary 7, 2017
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

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