Provost, Erica Ann

Provost, Erica Ann is an sole proprietor health care provider with primary practice located at 151 Terrace Shores Drive , Indialantic FL 32903-2706. 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, Erica Ann can be contacted via phone (561) 801-3264.

Contact Information

Primary practice address
151 Terrace Shores Drive Indialantic FL 32903-2706
Phone: (561) 801-3264
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA12639 Florida

Profile Details

NPI number 1770830358
LBN Legal business name Provost, Erica Ann
Credentials MS, CCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2012
Last updated Dec 3rd, 2014 - about 11 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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