1285974337 NPI number — SUZANNE MCNICHOL MS, CCC-SLP

Table of content: SUZANNE MCNICHOL MS, CCC-SLP (NPI 1285974337)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285974337 NPI number — SUZANNE MCNICHOL MS, CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCNICHOL
Provider First Name:
SUZANNE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUNNELL
Provider Other First Name:
SUZANNE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285974337
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CHIT CHAT THERAPY
Provider Second Line Business Mailing Address:
2848 PLEASANT RD, SUITE 101
Provider Business Mailing Address City Name:
FORT MILL
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29708-9494
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-779-4089
Provider Business Mailing Address Fax Number:
803-547-9706

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2848 PLEASANT RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
FORT MILL
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29708-9494
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-779-4089
Provider Business Practice Location Address Fax Number:
803-547-9706
Provider Enumeration Date:
02/27/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  9949 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: 6160 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: SA1731 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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