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

Nicole Thoma, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1457172520

Nicole Thoma, CCC-SLP is a Speech-Language Pathologist in Vadnais Heights, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

3485 Willow Lake Blvd Ste 300
Vadnais Heights, MN 55110-5155
Phone: (651) 797-4430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11102 91st Ave N Ste 100, Maple Grove, MN 55369-7707 — (612) 222-3029

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 528859 (MN)

Record details

NPI number1457172520
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 22, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

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