Individual
JENNIFER HICKAM FLENNIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1360 S WADSWORTH BLVD, SUITE 207, LAKEWOOD, CO 80232-5415
(303) 974-8704
Mailing address
1760 W DIXIE PL, DENVER, CO 80221-1537
(303) 974-8704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29577039
—
CO
01
—
841465539
TAX ID
CO
01
—
ANTHEM
649046
CO
Enumeration date
04/16/2007
Last updated
12/18/2012
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