Courtney Provost, CCC-SLP
NPI #1255915070 in Williamsville, New York
Provider Information
- NPI Number
- 1255915070
- Entity Type
- Individual
- Name
- Courtney Provost, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- May 7, 2021
- Last Updated
- Jan 2, 2024
Practice Location
- Address
- 30 WILSON RD
- City
- Williamsville
- State
- New York
- ZIP Code
- 14221-7026
- Phone
- (716) 856-4201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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