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

Grace Nichole Nicata Portentoso

Individual provider Speech-Language Pathologist · NPI 1104549831

Grace Nichole Nicata Portentoso is a Speech-Language Pathologist in Toledo, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

1205 King Rd
Toledo, OH 43617-2013
Phone: (419) 867-5666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence COND.20222021-SP (OH)

Record details

NPI number1104549831
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

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