Individual provider · Type 1 NPI

Nicole Waters, MA, CCC-SLP

Speech-Language Pathologist · Cloquet, MN

NPI number 1104763200 Active

Practice location

302 14th St
Cloquet, MN 55720-2102

Call (218) 879-6721 Map

Fax (218) 879-6724

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X417609 (MN)

Speech-Language Pathologist: 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, resonan…

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About NPI 1104763200

Nicole Waters, MA, CCC-SLP's National Provider Identifier is 1104763200, issued on Apr 29, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Cloquet, MN. The record was last updated on Apr 29, 2026.