Provider Demographics
NPI:1659081958
Name:KALIKATZAROS, NOMIKI
Entity Type:Individual
Prefix:
First Name:NOMIKI
Middle Name:
Last Name:KALIKATZAROS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8315 MISTY RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-5818
Mailing Address - Country:US
Mailing Address - Phone:917-655-3714
Mailing Address - Fax:
Practice Address - Street 1:8315 MISTY RIDGE TRL
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-5818
Practice Address - Country:US
Practice Address - Phone:917-655-3714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist