Katie Lynn Provorse
NPI #1568901841 in Buena Vista, Colorado
Provider Information
- NPI Number
- 1568901841
- Entity Type
- Individual
- Name
- Katie Lynn Provorse
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 19, 2017
- Last Updated
- Oct 5, 2023
Practice Location
- Address
- 113 N COURT ST
- City
- Buena Vista
- State
- Colorado
- ZIP Code
- 81211-2027
- Phone
- (719) 395-7054
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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