MATTHEW P PROVOST

CRANSTON, RI
NPI1962436519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: RI  SP00739)
Enumeration Date2006-07-10
Last Update Date2020-07-30
Business Address
MATTHEW P PROVOST MS,CCC-SLP
161 COMSTOCK PKWY
CRANSTON, RI 02921-2002
Phone number: 401-463-0202
Mailing Address
MATTHEW P PROVOST MS,CCC-SLP
161 COMSTOCK PKWY
CRANSTON, RI 02921-2002
Phone number: 401-463-0202
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