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

Individual provider Speech-Language Pathologist · NPI 1659934420

Nicole Johnson, MA, CCC-SLP is a Speech-Language Pathologist in Avenel, New Jersey. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
MA — Master of Arts
A graduate arts 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

1400 Saint Georges Ave Apt 303
Avenel, NJ 07001-1188
Phone: (917) 868-1390
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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 027568-1 (NY)

Record details

NPI number1659934420
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

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