Provencio, Maria Heribertha

Provencio, Maria Heribertha is an sole proprietor health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93636-8761. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Provencio, Maria Heribertha can be contacted via phone (559) 353-3000.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8761
Phone: (559) 353-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12864 California

Profile Details

NPI number 1407065535
LBN Legal business name Provencio, Maria Heribertha
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Mar 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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