Jennifer Nicklas, CCC-SLP

NPI 1770706038 · on the registry since 2007

Practice

Address: 1115 Fairgrounds Rd
Jefferson City, MO 65109
Phone: (573) 634-3070
Fax: (573) 636-3247
Organisation at this address: Capital City Area Council For Special Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri