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

Individual provider Speech-Language Pathologist · NPI 1679361877

Nicole Khanutin is a Speech-Language Pathologist in Montvale, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

11 Olde Woods Ln
Montvale, NJ 07645-1743
Phone: (201) 962-6059
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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 035443 (NY)

Record details

NPI number1679361877
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 28, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

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