Individual provider · Type 1 NPI

Nicole Provornov

Speech-Language Pathologist · Trumbull, CT

NPI number 1366872129 Active

Practice location

4291 Madison Ave
Trumbull, CT 06611-2739

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X58022604 (NY)

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 1366872129

Nicole Provornov's National Provider Identifier is 1366872129, issued on Nov 14, 2013. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Trumbull, CT. The record was last updated on Mar 10, 2021.