Madeleine Provost
Madeleine Provost is a Speech-Language Pathologist in South Portland, Maine. Practices as a sole proprietor. Licensed in Maine.
- Licensed in
- ME
- In the registry since
- 2025
Practice location Address checks out
117 Summit Ter Apt 91South Portland, ME 04106-2276
Phone: (413) 386-5358
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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 · Licence SP4353 (ME) |
|---|
Record details
| NPI number | 1639061112 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2025 |
| Last updated in NPPES | July 17, 2025 |
| Certification date | July 17, 2025 |
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