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

Individual provider Speech-Language Pathologist · NPI 1891545950

Nicole Ethridge, MS, CCC-SLP is a Speech-Language Pathologist in Pooler, Georgia. Licensed in Georgia and Texas. Registered with an NPI since 2024.

Licensed in
GA, TX
In the registry since
2024
Specialties on file
2
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

110 Pipemakers Cir Ste 115
Pooler, GA 31322-4168
Phone: (912) 988-1526
Fax: (912) 988-1537
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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 SLP013955 (GA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 120148 (TX)

Record details

NPI number1891545950
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

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