MRS. ERICA PROVOST, MS, CCC

Speech-Language Pathologist

Active Individual
NPI: 1770830358

Practice Address

151 TERRACE SHORES DRIVE
Indialantic, FL 32903

Phone: (561) 801-3264

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes SA12639 (FL)

Frequently Asked Questions

NPI 1770830358 is the National Provider Identifier for MRS. ERICA PROVOST, MS, CCC, a Speech-Language Pathologist provider located in Indialantic, FL. This NPI was enumerated on August 13, 2012.
MRS. ERICA PROVOST, MS, CCC practices at 151 TERRACE SHORES DRIVE, Indialantic, FL 32903.

Quick Facts

NPI
1770830358
Type
Individual
Enumerated
Aug 13, 2012
Last Updated
Dec 3, 2014

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