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

Individual provider Speech-Language Pathologist · NPI 1518537539

Nicole Elise Johnson, CCC-SLP is a Speech-Language Pathologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
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

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone: (612) 273-8383
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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 10407 (MN)

Record details

NPI number1518537539
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

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