Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christine Micknick, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1982016168

Christine Micknick, MA, CCC-SLP is a Speech-Language Pathologist in Waldorf, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

14707 Gardner Rd
Waldorf, MD 20601-3812
Phone: (202) 369-5265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 04128 (MD)

Record details

NPI number1982016168
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedMay 22, 2014
Last updated in NPPESMay 22, 2014

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