Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney Provost, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1255915070

Courtney Provost, CCC-SLP is a Qualified Speech Language Pathologist in Williamsville, New York. Qualified in 2021, 5 years ago. Practices with Aspire of Western New York Inc, a 26-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

30 Wilson Rd
Williamsville, NY 14221-7026
Phone: (716) 856-4201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1255915070
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aspire Of Western New York Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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