Mrs. Stacie Marie Provosty, MACCC-SLP
Mrs. Stacie Marie Provosty, MACCC-SLP is a Speech-Language Pathologist in New Orleans, Louisiana. Licensed in Louisiana and Ohio. Registered with an NPI since 2007.
- Licensed in
- LA, OH
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3419 Saint Claude AveNew Orleans, LA 70117-6144
Phone: (504) 330-8160
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 5819 (LA) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X · Licence 8000 (OH) |
Record details
| NPI number | 1447445259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC-SLP |
| Sole proprietor | No |
| NPI enumerated | September 14, 2007 |
| Last updated in NPPES | September 14, 2007 |
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