Jennifer Nicklas in Jefferson City - Speech-language Pathologist
Jennifer Nicklas - NPI 1770706038
Jennifer Nicklas is a Speech-language Pathologist in Jefferson City, Missouri. Jennifer Nicklas practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jennifer Nicklas is 1770706038. The last update date is 2009-04-07.
Jennifer Nicklas's current location address is 5409 Bull Rock Rd, Jefferson City, Missouri. You can contact this provider via phone number 5736343070 and fax number 5736363247. The mailing address for Jennifer Nicklas is 5409 Bull Rock Rd, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Nicklas |
|---|---|
| Address | 5409 Bull Rock Rd, Jefferson City, Missouri |
| Phone Number | 5736343070 |
| Fax Number | 5736363247 |
| Sole Proprietor | N |
| Credentials | CCC-SLP |
NPI Number Detail
| NPI Number | 1770706038 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2009-04-07 |
Provider Mailing Address Detail
| Address | 5409 Bull Rock Rd |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651096277 |
| Phone Number | 5736343070 |
| Fax Number | 5736363247 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2009005833 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 461466500 | MO | -- |
Post Comment/ Review Below
What is the Jennifer Nicklas's unique identification number?
The Jennifer Nicklas has been assigned the NPI (National Provider Identifier) Number 1770706038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jennifer Nicklas's facilities are situated?
The facilities of Jennifer Nicklas are physically located at the following address: 5409 Bull Rock Rd, Jefferson City, MO, 651096277.
What is Jennifer Nicklas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Nicklas is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
When did Jennifer Nicklas receive its 1770706038 assignment?
The Jennifer Nicklas was assigned its 1770706038 on 2007-04-11, which is the date when this unique identifier was issued to the organization.
When was the Jennifer Nicklas's information last updated?
The Jennifer Nicklas's information was last updated on 2009-04-07.