MRS. JENNIFER NICKLAS CCC-SLP
NPI 1770706038
Speech-Language Pathologist in Jefferson City, MO

Q: What is Jennifer Nicklas's NPI number?

The NPI number for Jennifer Nicklas is 1770706038. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Jennifer Nicklas's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Nicklas was last updated on April 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2007

1115 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109(573) 634-3070(573) 636-3247 Get Directions Write a Review

NPPES record last updated: April 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Jennifer Nicklas Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER NICKLAS CCC-SLP (NPI 1770706038) is an individual speech-language pathologist provider in Jefferson City, Missouri, licensed in Missouri (2009005833) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1770706038

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. JENNIFER NICKLASCredential: CCC-SLP

Location Address1115 FAIRGROUNDS RDJefferson City, MO 65109-5443

Mailing Address5409 Bull Rock RdJefferson City, MO 65109-6277 · (573) 634-3070 · Fax (573) 636-3247

Phone(573) 634-3070

Fax(573) 636-3247

Sole ProprietorNo

Enumeration DateApril 11, 2007

Last NPPES UpdateApril 7, 2009

✔ NPI 1770706038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MO · 2009005833

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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1115 FAIRGROUNDS RD, Jefferson City, MO 65109

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