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

Individual provider Speech-Language Pathologist · NPI 1053368274

Nichole M. Mathis, MS, CCC-SLP is a Speech-Language Pathologist in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science 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

940 N Jefferson Ave
Springfield, MO 65802-3718
Phone: (417) 523-1000
Fax: (417) 523-7595
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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 2004007000 (MO)

Record details

NPI number1053368274
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 8, 2007

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