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MRS. NICOLE MARIE WONG MA CCC-SLP
NPI 1790294890
Speech-Language Pathologist in Melbourne, FL

Active since September 21, 2017
780 S APOLLO BLVD STE 104, MELBOURNE, FL 32901(321) 432-2572 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Marie Wong Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE MARIE WONG MA CCC-SLP (NPI 1790294890) is an individual speech-language pathologist provider in Melbourne, Florida, licensed in Florida (SZ8302) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1790294890
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. NICOLE MARIE WONGCredential: MA CCC-SLP
Location Address780 S APOLLO BLVD STE 104Melbourne, FL 32901-1402
Mailing Address1251 Seminole DrIndian Harbour Beach, FL 32937-4140
Phone(321) 432-2572
Sole ProprietorYes
Enumeration DateSeptember 21, 2017
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1790294890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SZ8302
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
780 S APOLLO BLVD STE 104, Melbourne, FL 32901
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Other Names 1

Former Name (1)Miss Nicole Johnson Ma Ccc-slp

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAITH HOOPINGARNER MOT, OTR/L
Occupational Therapist
780 S APOLLO BLVD STE 104
MELBOURNE, FL 32901
Brevard County (321) 432-2572
LAURIE MCNAMEE COTA/L
Occupational Therapy Assistant
780 S APOLLO BLVD STE 104
MELBOURNE, FL 32901
Brevard County (321) 432-2572
VIANNY GORDON
Speech-Language Pathologist
780 S APOLLO BLVD STE 104
MELBOURNE, FL 32901
Brevard County (321) 432-2572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Wong's NPI number?

The NPI number for Nicole Wong is 1790294890. It was assigned to this individual provider in the NPPES registry on September 21, 2017. The provider is also known as Miss Nicole Johnson Ma Ccc-Slp.

Where is Nicole Wong located?

Nicole Wong practices at 780 S Apollo Blvd Ste 104, Melbourne, FL 32901. The listed phone number is (321) 432-2572.

What is Nicole Wong's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Nicole Wong was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.