COURTNEY PROVOST

WILLIAMSVILLE, NY
NPI1255915070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2021-05-07
Last Update Date2024-01-02
Business Address
COURTNEY PROVOST CCC-SLP
30 WILSON RD
WILLIAMSVILLE, NY 14221-7026
Phone number: 716-856-4201
Mailing Address
COURTNEY PROVOST CCC-SLP
800 HERTEL AVE STE 101
BUFFALO, NY 14207-1906
Phone number: 716-566-5050