Individual provider · Type 1 NPI

Dora Provencio

Speech-Language Pathologist · Fresno, CA

NPI number 1306055447 Active

Practice location

7300 N Fresno St
Fresno, CA 93720-2941

Call (559) 448-3612 Map

Mailing address

37118 Dunlap Rd
Squaw Valley, CA 93675-9606

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X8793 (CA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1306055447

Dora Provencio's National Provider Identifier is 1306055447, issued on May 22, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fresno, CA. The record was last updated on Jul 8, 2007.