MRS. Maria Heribertha Provencio, MA CCC-SLP
NPI #1407065535 in Madera, California
Provider Information
- NPI Number
- 1407065535
- Entity Type
- Individual
- Name
- MRS. Maria Heribertha Provencio, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- May 22, 2007
- Last Updated
- Mar 1, 2017
Practice Location
- Address
- 9300 VALLEY CHILDRENS PL
- City
- Madera
- State
- California
- ZIP Code
- 93636-8761
- Phone
- (559) 353-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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