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

Individual provider Speech-Language Pathologist · NPI 1205135753

Mrs. Wilson Nice, MA, CCC-SLP is a Qualified Speech Language Pathologist in Socorro, New Mexico. Qualified in 2000, 26 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and New Mexico.

Years since qualifying
26
Licensed in
NC, NM
In the registry since
2011
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

409 N California St
Socorro, NM 87801-4208
Phone: (505) 907-1902
Fax: (833) 448-2997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 — (505) 907-1902
  • 715 N California St Ste A, Socorro, NM 87801-4283 — (505) 907-1902
  • 604 Reservoir St, Socorro, NM 87801-4333 — (505) 907-1902

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5194 (NM)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 15254 (NC)

Record details

NPI number1205135753
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 23, 2011
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Socorro