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

Individual provider Speech-Language Pathologist · NPI 1639505993

Jennifer Nichols, CCC-SLP is a Speech-Language Pathologist in Fort Worth, Texas. Licensed in North Dakota and Texas. Registered with an NPI since 2013.

Licensed in
ND, TX
In the registry since
2013
Specialties on file
2
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

1000 Saint Louis Ave Ste 102
Fort Worth, TX 76104-3377
Phone: (817) 921-5020
Fax: (817) 921-5022
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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 · Licence 1234 (ND)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 111513 (TX)

Record details

NPI number1639505993
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 18, 2013
Last updated in NPPESJuly 21, 2022

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