Ms Angela Nicole Nicklas, MS CCC-SLP is a
Speech-language Pathologist based in Fort Meade, Maryland. Ms Angela Nicole Nicklas is licensed to practice in Maryland (license number 05065) and her current practice location is
2900 Macarthur Rd, Fort Meade, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 222-6504.
NPI number for Ms Angela Nicole Nicklas is 1568934388 and her current mailing address is 902 9th St, Pasadena, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568934388.
Healthcare Provider's Profile
Full Name | Ms Angela Nicole Nicklas |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 2900 Macarthur Rd, Fort Meade, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568934388
- Provider Enumeration Date: 12/18/2018
- Last Update Date: 12/18/2018
Medical Identifiers
Medical identifiers for Ms Angela Nicole Nicklas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568934388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 05065 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Angela Nicole Nicklas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Angela Nicole Nicklas, MS CCC-SLP 902 9th St, Pasadena, MD 21122-1804 Ph: (443) 386-0972 | Ms Angela Nicole Nicklas, MS CCC-SLP 2900 Macarthur Rd, Fort Meade, MD 20755-2123 Ph: (410) 222-6504 |
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