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

Individual provider Speech-Language Pathologist · NPI 1770706038

Mrs. Jennifer Nicklas, CCC-SLP is a Speech-Language Pathologist in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
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

1115 Fairgrounds Rd
Jefferson City, MO 65109-5443
Phone: (573) 634-3070
Fax: (573) 636-3247
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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 2009005833 (MO)

Record details

NPI number1770706038
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESApril 7, 2009

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