Provost, Cynthia Ann

Provost, Cynthia Ann is an individual health care provider with primary practice located at 400 S Kennedy Dr Suite 600, Bradley IL 60915-2682. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Provost, Cynthia Ann can be contacted via phone (815) 935-7496.

Contact Information

Primary practice address
400 S Kennedy Dr Suite 600 Bradley IL 60915-2682
Phone: (815) 935-7496
Fax: (815) 935-7860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.005338 Illinois

Profile Details

NPI number 1023366036
LBN Legal business name Provost, Cynthia Ann
Credentials MHS, CCC, SLP/L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2012
Last updated Aug 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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