Madeleine Provost
NPI #1639061112 in South Portland, Maine
Provider Information
- NPI Number
- 1639061112
- Entity Type
- Individual
- Name
- Madeleine Provost
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 17, 2025
- Last Updated
- Jul 17, 2025
Practice Location
- Address
- 117 SUMMIT TER APT 91
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-2276
- Phone
- (413) 386-5358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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