Christine Micknick, M.A., CCC-SLP

NPI #1982016168 in Waldorf, Maryland

Provider Information

NPI Number: 1982016168
Entity Type: Individual
Name: Christine Micknick, M.A., CCC-SLP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Speech-Language Pathologist
Credential: M.A., CCC-SLP
Enumeration Date: May 22, 2014
Last Updated: May 22, 2014

Practice Location

Address: 14707 GARDNER RD
City: Waldorf
State: Maryland
ZIP Code: 20601-3812
Phone: (202) 369-5265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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