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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MARIA HERIBERTHA PROVENCIO, MA CCC-SLP

Active Sole Proprietor

MRS. MARIA HERIBERTHA PROVENCIO, MA CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MADERA, California. NPI 1407065535 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MADERA, CA

Registration Details

NPI Number
1407065535
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2007 (19.19030684724 yrs)
Last Updated
Mar 1, 2017
License
12864 (CA)
Sole Proprietor
Yes

Practice Information

Address
9300 VALLEY CHILDRENS PL
MADERA, CA, 936368761
Browse CA providers · Browse ZIP 93636
Phone
5593533000
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MADERA, CA

Name Credential NPI
ELIZABETH PAIGE COOPER 1568885739
MR. JORGE A HARO SLP 1205249778
JESSICA DILLON-STATHACOPULOS 1871981662
WENDY GARBARINO M.A. 1013391853
COURTNEY LORENZO 1295103638
IRENE VASQUEZ 1518335959
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.