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

MRS. ERICA ANN PROVOST, MS, CCC

Active Sole Proprietor

Speech, Language and Hearing Specialist · INDIALANTIC, FL

Registration Details

NPI Number
1770830358
Provider Type
Individual
Gender
Female
NPI Issued
Aug 13, 2012 (13.731020400443 yrs)
Last Updated
Dec 3, 2014
License
SA12639 (FL)
Sole Proprietor
Yes

Practice Information

Address
151 TERRACE SHORES DRIVE
INDIALANTIC, FL, 329032706
Browse FL providers · Browse ZIP 32903
Phone
5618013264
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in INDIALANTIC, FL

Name Credential NPI
LISA FARTHING SLP 1700021680
MICHELE KRENZER M.S. 1154563781
TAMMY KALIKO WILLINGHAM, INC. MA/SLP/CCC 1164658407
YELBA MERCEDES DELGADO MS CCC-SLP 1932458403
MRS. PATRICIA D BURKE MS/CCC/SLP 1396136735
PAGE MOOREFIELD HYLER 1295317410
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.