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

Nicole Grant

Individual provider Speech-Language Pathologist · NPI 1689228165

Nicole Grant is a Speech-Language Pathologist in Staten Island, New York. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

450 N Burgher Ave
Staten Island, NY 10310-2049
Phone: (646) 709-1545
Show map & directions

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

Additional practice locations (2)

  • 6901 N Charles St, Towson, MD 21204-3780 — (443) 809-4130
  • 110 Manor Rd, Staten Island, NY 10310-2626 — (646) 709-1545

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1689228165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 1, 2019
Last updated in NPPESMarch 8, 2026
Certification dateMarch 8, 2026

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