MEDICARE: NICOLE MCGREGOR M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1689263691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE MCGREGOR M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	21485 BIRDHOLLOW DR
Second Line	:
City	:	TRABUCO CANYON
State	:	CA
Zip	:	92679-3359
Country	:	US
Telephone Number	:	949-910-9521
Fax Number	:

Provider Business Practice Location Address
First Line	:	30131 TOWN CENTER DR STE 135
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-2010
Country	:	US
Telephone Number	:	949-594-4455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	06/19/2024

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Directions to “ NICOLE MCGREGOR M.S. CCC-SLP” Practice Location

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