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CHRISTINE MICKNICK M.A., CCC-SLP
NPI 1982016168
Speech-Language Pathologist in Waldorf, MD

Active since May 22, 2014
14707 GARDNER RD, WALDORF, MD 20601(202) 369-5265 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christine Micknick M.a., Ccc-slp NPPES

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

CHRISTINE MICKNICK M.A., CCC-SLP (NPI 1982016168) is an individual speech-language pathologist provider in Waldorf, Maryland, licensed in Maryland (04128) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1982016168
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCHRISTINE MICKNICKCredential: M.A., CCC-SLP
Location Address14707 GARDNER RDWaldorf, MD 20601-3812
Mailing Address14707 Gardner RdWaldorf, MD 20601-3812 · (202) 369-5265
Phone(202) 369-5265
Sole ProprietorYes
Enumeration DateMay 22, 2014
✔ NPI 1982016168 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 MD · 04128
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.
14707 GARDNER RD, Waldorf, MD 20601
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Micknick's NPI number?

The NPI number for Christine Micknick is 1982016168. It was assigned to this individual provider in the NPPES registry on May 22, 2014.

Where is Christine Micknick located?

Christine Micknick practices at 14707 Gardner Rd, Waldorf, MD 20601. The listed phone number is (202) 369-5265.

What is Christine Micknick's specialty?

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

When was this NPI record last updated?

The NPPES record for Christine Micknick was last updated on May 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.