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

Individual provider Speech-Language Pathologist · NPI 1710921234

Nicole Z Russo, CCC-SLP is a Speech-Language Pathologist in Groveland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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

577 Blue Cypress Dr
Groveland, FL 34736-8111
Phone: (843) 655-2665
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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 SA10268 (FL)

Record details

NPI number1710921234
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJune 15, 2006
Last updated in NPPESNovember 27, 2017

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