Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Grace Niccum, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1710866991

Grace Niccum, CCC-SLP is a Speech-Language Pathologist in San Rafael, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1400 2nd St Apt B
San Rafael, CA 94901-2774
Phone: (831) 252-1775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1710866991
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 1, 2025
Last updated in NPPESSeptember 1, 2025
Certification dateAugust 31, 2025

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