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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801360045

Nicole South, MSCCC-SLP is a Student in an Organized Health Care Education/Training Program in Blue Point, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

235 Blue Point Ave
Blue Point, NY 11715-1261
Phone: (631) 363-5794
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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 029147 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801360045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 21, 2019
Last updated in NPPESSeptember 18, 2019

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