Individual provider · Type 1 NPI

Nicole Grant

Speech-Language Pathologist · Staten Island, NY

NPI number 1689228165 Active

Practice location

450 N Burgher Ave
Staten Island, NY 10310-2049

Call (646) 709-1545 Map

Other practice locations

  • 110 Manor Rd, Staten Island, NY 10310-2626 · (646) 709-1545
  • 6901 N Charles St, Towson, MD 21204-3780 · (443) 809-4130

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

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 1689228165

Nicole Grant's National Provider Identifier is 1689228165, issued on Aug 1, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 8, 2026.