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NPI Code Detail

MEDICARE: ANNELISE FICKINGER SLP

MEDICARE: ANNELISE FICKINGER SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSL018187PA

General Provider Information

NPI Number : 1538937388
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNELISE FICKINGER SLP
Provider Business Mailing Address
First Line : 45 CREEKSIDE LN UNIT 310
Second Line :
City : MALVERN
State : PA
Zip : 19355-3270
Country : US
Telephone Number : 908-361-2765
Fax Number :
Provider Business Practice Location Address
First Line : 1695 LENAPE RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-6801
Country : US
Telephone Number : 610-344-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2023
Last Update Date : 01/21/2026

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Directions to “ ANNELISE FICKINGER SLP” Practice Location

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