Jessica Provost
Jessica Provost is a Speech-Language Pathologist in De Pere, Wisconsin. Works from 2 locations. Licensed in Minnesota and Wisconsin.
- Licensed in
- MN, WI
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
1686 Eisenhower RdDe Pere, WI 54115-8145
Phone: (920) 496-4700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 100 County Road B, Shawano, WI 54166-7072 — (715) 526-7370
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 5422 (WI) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 9673 (MN) |
Record details
| NPI number | 1588014831 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 17, 2016 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
| Mailing address | 8170 33rd Ave S, Mail Stop 21110q, Minneapolis, MN 55425-4516 |
Other providers in De Pere
-
Nicole Lindsey Nolte Rierdon, SLP
1601 Lawrence Dr, De Pere, WI 54115-3931 · (920) 496-4700
-
Ashley Nordlund
1700 Chicago St, De Pere, WI 54115-3418 · (920) 944-7043
-
Erin C Ott, SLP
1601 Lawrence Dr Ste 100, De Pere, WI 54115-3931 · (920) 496-4700
-
Jeanna Pagel, MSCCC-SLP
435 S Washington St, De Pere, WI 54115-3419 · (920) 337-1027
-
Mrs. Tara Leigh Rice, MS, CCC-SLP
435 S Washington St, De Pere, WI 54115-3419 · (920) 337-1027
-
Mrs. Megan Marie Ristow, MS
200 S 9th St, De Pere, WI 54115-1393 · (920) 336-5680
-
Sara Sadler, SLP
1142 Orlando Dr, De Pere, WI 54115-9484 · (920) 339-0700
-
Katie Saffran
3001 Ryan Rd, De Pere, WI 54115-9634 · (920) 338-1894