Christine Micknick, M.A., CCC-SLP
Speech-Language Pathologist, in Waldorf, MD. Individual provider (NPI-1).
NPI number1982016168
StatusActive
Last updated in NPPESMay 22, 2014
Details
- NPI
- 1982016168
- Entity type
- Individual (NPI-1)
- Name
- Christine Micknick
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2014
- Last updated
- May 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 04128 | MD | Yes |
Practice location
14707 Gardner RdWaldorf, MD 20601-3812
Phone 202-369-5265
Mailing address
14707 Gardner RdWaldorf, MD 20601-3812
Phone 202-369-5265
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All 32 Speech-Language Pathologist providers in Waldorf · All 2,202 providers in Waldorf
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