MRS. Erica Ann Provost, MS, CCC
NPI #1770830358 in Indialantic, Florida
Provider Information
- NPI Number
- 1770830358
- Entity Type
- Individual
- Name
- MRS. Erica Ann Provost, MS, CCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC
- Enumeration Date
- Aug 13, 2012
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 151 TERRACE SHORES DRIVE
- City
- Indialantic
- State
- Florida
- ZIP Code
- 32903-2706
- Phone
- (561) 801-3264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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