Shelly Licciardi, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11341 Issued in CA

Practice address

1500 Lizzie St
San Luis Obispo, CA 93401-3062

Phone

(805) 596-4040

NPI assigned

Feb 7, 2017

Last updated

May 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Language, Learning, and Speech Center

  • Speech-Language Pathologist
  • San Luis Obispo, CA
  • NPI 1255616462
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1407394711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAGE ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016803",
            "telephone_number": "805-234-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LIZZIE ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013062",
            "telephone_number": "805-596-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICCIARDI",
        "first_name": "SHELLY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "11341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Alan Leyden, BS, MS, CSCS
• Feng Ling Li de Wang, ACUPUNCTURIST
• Kirsten Liana
• Melanie Liantonio-Barnes
• Alexander Liaw, PA-C
• Geneva Mary Licht
• David Chris Lichti, LMFT
• Danny Leroy Lickness, MD
• Life Steps Foundation, Inc.
• Lifecare Solutions Inc

• Speech-Language Pathologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.