Angela Dikengil, MS, CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Morris Plains, NJ
NPI 1033437199 · NPPES record last updated May 13, 2010
Key facts
- NPI
- 1033437199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 41YS00142500 (NJ)
- Practice address
- 6A Yacenda Dr
Morris Plains, NJ 07950-1261 - Phone
- (973) 540-0028
- Fax
- (973) 540-0028
- NPI assigned
- May 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00142500 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Vista Health Care Staffing, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00142500 | NJ | Yes |
Addresses
Primary practice location
6A Yacenda Dr
Morris Plains, NJ 07950-1261
Mailing address
6A Yacenda Dr
Morris Plains, NJ 07950-1261
Phone (973) 540-0028
Other providers in Morris Plains, NJ
- Gina Delli Bovi
- Mallory Demarco
- Dana C Depasquale
- Kelly Elizabeth Deriggi
- Julia Di Clemente
- Joselito B. Domingo
- Olufemi A Dosunmu
- Dr. Reena a. Patel
- Drug Fair Group, Inc.
- Michael G. Dudak
All providers in Morris Plains, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.