Individual provider · Type 1 NPI

Nicole Ethridge, M.S., CCC-SLP

Speech-Language Pathologist · Pooler, GA

NPI number 1891545950 Active

Practice location

110 Pipemakers Cir Ste 115
Pooler, GA 31322-4168

Fax (912) 988-1537

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP013955 (GA)
Speech-Language Pathologist 235Z00000X120148 (TX)

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 1891545950

Nicole Ethridge, M.S., CCC-SLP's National Provider Identifier is 1891545950, issued on Mar 22, 2024. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Pooler, GA. The record was last updated on Feb 3, 2026.