Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Maria Heribertha Provencio, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1407065535

Mrs. Maria Heribertha Provencio, MACCC-SLP is a Speech-Language Pathologist in Madera, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

9300 Valley Childrens Pl
Madera, CA 93636-8761
Phone: (559) 353-3000
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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 12864 (CA)

Record details

NPI number1407065535
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESMarch 1, 2017

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