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

Individual provider Speech-Language Pathologist · NPI 1922328780

Mrs. Nicole Lynn Kavanagh, CCC-SLP is a Speech-Language Pathologist in Gilbert, Arizona. Practices as a sole proprietor. Licensed in Arizona and New York.

Licensed in
AZ, NY
In the registry since
2010
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

5783 S Fawn Ave
Gilbert, AZ 85298-0848
Phone: (480) 518-7073
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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 SLP6798 (AZ)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 018711 (NY)

Record details

NPI number1922328780
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJune 3, 2010
Last updated in NPPESAugust 7, 2019

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