Individual provider · Type 1 NPI

Jennifer Nicklas, CCC-SLP

Speech-Language Pathologist · Jefferson City, MO

NPI number 1770706038 Active

Practice location

1115 Fairgrounds Rd
Jefferson City, MO 65109-5443

Fax (573) 636-3247

Mailing address

5409 Bull Rock Rd
Jefferson City, MO 65109-6277

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X2009005833 (MO)

Speech-Language Pathologist: 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1770706038

Jennifer Nicklas, CCC-SLP's National Provider Identifier is 1770706038, issued on Apr 11, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jefferson City, MO. The record was last updated on Apr 7, 2009.