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

Individual provider Speech-Language Pathologist · NPI 1659664571

Nicole Johnson is a Speech-Language Pathologist in Rochester, New York. Practices as a sole proprietor and works from 3 locations. Licensed in New York and Virginia.

Licensed in
NY, VA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

160 Wallace Way Bldg 9
Rochester, NY 14624
Phone: (585) 617-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 41 Oconnor Rd, Fairport, NY 14450-1327 — (585) 419-8174
  • 182 Queensland Dr, Spencerport, NY 14559-2410 — (716) 984-1296

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 022791 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2202005855 (VA)

Record details

NPI number1659664571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2011
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023
Mailing addressPo Box 297, Spencerport, NY 14559-0297

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