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

Cynthia Ann Provost, MHS, CCC, SLP/L

Individual provider Speech-Language Pathologist · NPI 1023366036

Cynthia Ann Provost, MHS, CCC, SLP/L is a Speech-Language Pathologist in Bradley, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

400 S Kennedy Dr Ste 600
Bradley, IL 60915-2682
Phone: (815) 935-7496
Fax: (815) 935-7860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.005338 (IL)

Record details

NPI number1023366036
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS , CCC , SLP/L
Sole proprietorNo
NPI enumeratedAugust 22, 2012
Last updated in NPPESAugust 22, 2012

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