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

Individual provider Speech-Language Pathologist · NPI 1790294890

Mrs. Nicole Marie Wong, MACCC-SLP is a Speech-Language Pathologist in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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Practice location Address checks out

780 S Apollo Blvd Ste 104
Melbourne, FL 32901-1402
Phone: (321) 432-2572
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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 SZ8302 (FL)

Record details

NPI number1790294890
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 21, 2017
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

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