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

Individual provider Speech-Language Pathologist · NPI 1164180378

Emma Provenzano, MS, CCC-SLP is a Speech-Language Pathologist in Wilmington, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts and North Carolina.

Licensed in
MA, NC
In the registry since
2021
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

501 Covil Ave Ste 100
Wilmington, NC 28403-2678
Phone: (910) 792-6706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37 Raymond Ave, Somerville, MA 02144-1209 — (802) 688-4400

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 15389 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 78102 (MA)

Record details

NPI number1164180378
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedDecember 5, 2021
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

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