Provider Demographics
NPI:1669981817
Name:DARGATZ, NIKKI PARDINI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:PARDINI
Last Name:DARGATZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 ROXBORO LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7485
Mailing Address - Country:US
Mailing Address - Phone:469-441-6818
Mailing Address - Fax:
Practice Address - Street 1:6851 VIRGINIA PKWY STE 202
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5653
Practice Address - Country:US
Practice Address - Phone:469-441-6818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19152235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist