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Search › Illinois › Speech-Language Assistant

Deborah Provenzano, SLPA

NPI 1164548376 · on the registry since 2007

Practice

Address
9736 S Hamilton Ave
Chicago, IL 60643
Phone
(773) 343-8484
Fax
(773) 305-0954
Organisation at this address
Square One Kids, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Speech-Language Assistant
2355S0801X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois