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

Nicole Bourassa, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1053555615

Nicole Bourassa, MSCCC-SLP is a Speech-Language Pathologist in Needham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2009

Practice location Address checks out

409 Greendale Ave
Needham, MA 02492-4003
Phone: (781) 449-0776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7260 (MA)

Record details

NPI number1053555615
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedApril 27, 2009
Last updated in NPPESApril 27, 2009
Mailing address409 Greendale Ave, Needham, MA 02492-4003

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