Active NPIIndividual provider

Nicole Donnelly, MA CCC-SLP

Speech-Language Pathologist, in Ellsworth, Maine

NPI Number1912814492
Practice location
24 Lejok St, Ellsworth, ME 04605-4767
Fax
—
Last updated
August 27, 2026

Nicole Donnelly is a Speech-Language Pathologist, based in Ellsworth, ME. Nicole Donnelly practices in Ellsworth, ME and has the professional credentials of MA CCC-SLP. The NPI Number for Nicole Donnelly is 1912814492 and holds a License No. SP3411 (ME). The current practice location address for Nicole Donnelly is 24 Lejok St, Ellsworth, ME 04605-4767 and can be reached out via phone at 207-667-4722.

Provider Profile Details

NPI Number
1912814492
Provider Name
Nicole Donnelly
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
24 Lejok St, Ellsworth, ME 04605-4767
Phone Number
207-667-4722
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
August 27, 2026
Last Update Date
August 27, 2026
Certification Date
August 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Lejok St
Ellsworth, ME 04605-4767
State
Maine
Zip
04605-4767
Phone Number
207-667-4722
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
36 Century St
Brewer, ME 04412-2432
City
Brewer
State
ME
Zip
04412-2432
Phone Number
931-302-5432

License Information

License Number
SP3411
License State
ME
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Donnelly, MA CCC-SLP?

The NPI number of Nicole Donnelly, MA CCC-SLP is 1912814492. It was assigned on August 27, 2026 and is currently active in the NPPES registry.

What is the specialty of Nicole Donnelly, MA CCC-SLP?

Nicole Donnelly, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP3411.

Where does Nicole Donnelly, MA CCC-SLP practice?

The practice location is 24 Lejok St, Ellsworth, ME 04605-4767. The office can be reached at 207-667-4722 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912814492 directly on the NPPES registry website.

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