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

Individual provider Speech-Language Pathologist · NPI 1043829344

Nicole Backes, CCC-SLP is a Speech-Language Pathologist in Liverpool, New York. Registered with an NPI since 2020.

In the registry since
2020
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

4768 Buckley Rd Apt 11
Liverpool, NY 13088-3663
Phone: (315) 560-7465
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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

Record details

NPI number1043829344
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address4768 Buckley Rd Apt 11, Liverpool, NY 13088-3663

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