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

Nicole Tiffany Douglas, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1699054239

Nicole Tiffany Douglas, MACCC-SLP is a Speech-Language Pathologist in Winston Salem, North Carolina. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

185 Charlois Blvd
Winston Salem, NC 27103-1521
Phone: (336) 725-0222
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1699054239
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedAugust 14, 2011
Last updated in NPPESJuly 6, 2012

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