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

JESSICA PROVOST

Active

JESSICA PROVOST is a Speech, Language and Hearing Specialist healthcare provider located in DE PERE, Wisconsin. NPI 1588014831 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · DE PERE, WI

Registration Details

NPI Number
1588014831
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2016 (10.161617117906 yrs)
Last Updated
Feb 15, 2022
Licenses
5422 (WI)
9673 (MN)

Practice Information

Address
1686 EISENHOWER RD
DE PERE, WI, 541158145
Browse WI providers · Browse ZIP 54115
Phone
9204964700
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in DE PERE, WI

Name Credential NPI
JENNIFER J.J. SCHUBRING 1538237185
SARA SADLER SLP 1477679686
MS. BRENDA L FORSLUND SLP 1902025422
MRS. STACEY LYN VAN GRINSVEN MS, CFY-SLP 1104018514
LORI ANN MUENCH MS CCC-SLP 1003083361
MRS. BETH DOLAR SLP 1902062029
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.