Christine Marie Provencher
Christine Marie Provencher is a Speech-Language Pathologist in San Diego, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
13223 Black Mountain Rd # 1358San Diego, CA 92129-2698
Phone: (619) 672-8387
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SP34708 (CA) |
|---|
Record details
| NPI number | 1689375669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 15, 2023 |
| Last updated in NPPES | March 15, 2023 |
| Certification date | March 15, 2023 |
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