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

Nicole Edwin, MSCCC-SLP, CLC

Individual provider Speech-Language Pathologist · NPI 1568904050

Nicole Edwin, MSCCC-SLP, CLC is a Speech-Language Pathologist in New Athens, Illinois. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

5001 Gils Ln
New Athens, IL 62264-2322
Phone: (920) 342-2558
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 2015039250 (MO)

Record details

NPI number1568904050
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP , CLC
Sole proprietorYes
NPI enumeratedNovember 15, 2016
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021

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