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

Individual provider Speech-Language Pathologist · NPI 1699089276

Nicole Lynn Carlson, MHS, CCC-SLP is a Qualified Speech Language Pathologist in Crown Point, Indiana. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
21
Licensed in
IN
In the registry since
2010
What do these letters mean?
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

9594 Lee Pl
Crown Point, IN 46307-7458
Phone: (219) 384-6295
Fax: (219) 365-5857
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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 22005059A (IN)

Record details

NPI number1699089276
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 5, 2010
Last updated in NPPESAugust 5, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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