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NPI Code Detail

MEDICARE: ANGELA A FLICEK MS/CCC-SLP

MEDICARE:   ANGELA A FLICEK  MS/CCC-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 PathologistND

General Provider Information

NPI Number : 1720270895
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA A FLICEK MS/CCC-SLP
Provider Business Mailing Address
First Line : 2200 20TH ST SW
Second Line :
City : JAMESTOWN
State : ND
Zip : 58401-7500
Country : US
Telephone Number : 701-252-3850
Fax Number : 701-952-1450
Provider Business Practice Location Address
First Line : 4152 30TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58104-8524
Country : US
Telephone Number : 701-364-9070
Fax Number : 701-364-9071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 04/24/2026

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Directions to “ ANGELA A FLICEK MS/CCC-SLP” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.