Individual
ANNIKA ZICKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPL
Contact information
Practice address
2340 KNOB CREEK RD STE 704, JOHNSON CITY, TN 37604-2977
(423) 268-2592
(423) 268-2594
Mailing address
2340 KNOB CREEK RD STE 704, JOHNSON CITY, TN 37604-2977
(423) 268-2592
(423) 268-2594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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