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

Individual provider Speech-Language Pathologist · NPI 1447493788

Nicole M Champ, CCC-SLP is a Speech-Language Pathologist in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
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

3816 Harris Blvd NW
Kennesaw, GA 30144-6095
Phone: (770) 608-3783
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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 SLP007192 (GA)

Record details

NPI number1447493788
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedApril 16, 2009
Last updated in NPPESMay 22, 2013

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