Provider Demographics
NPI:1598553430
Name:ENGLEN, NIKOLAUS FA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:NIKOLAUS
Middle Name:FA
Last Name:ENGLEN
Suffix:
Gender:
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21818 W 123RD TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7629
Mailing Address - Country:US
Mailing Address - Phone:816-797-2408
Mailing Address - Fax:
Practice Address - Street 1:21818 W 123RD TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7629
Practice Address - Country:US
Practice Address - Phone:816-797-2408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
KS1973235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist