Matthew P Provost, MS,CCC-SLP
NPI #1962436519 in Cranston, Rhode Island
Provider Information
- NPI Number
- 1962436519
- Entity Type
- Individual
- Name
- Matthew P Provost, MS,CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS,CCC-SLP
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Jul 30, 2020
Practice Location
- Address
- 161 COMSTOCK PKWY
- City
- Cranston
- State
- Rhode Island
- ZIP Code
- 02921-2002
- Phone
- (401) 463-0202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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