Provost, Matthew P

Provost, Matthew P is an individual health care provider with primary practice located at 161 Comstock Pkwy , Cranston RI 02921-2002. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Provost, Matthew P can be contacted via phone (401) 463-0202.

Contact Information

Primary practice address
161 Comstock Pkwy Cranston RI 02921-2002
Phone: (401) 463-0202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP00739 Rhode Island

Profile Details

NPI number 1962436519
LBN Legal business name Provost, Matthew P
Credentials MS,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 30th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962436519 NPPES
Rhode Island Other 4600103 SS UHP
Rhode Island MEDICAID 9009994 SS UHP
Rhode Island Other 411302 SS UHP
Rhode Island Other 2058 SS UHP
Rhode Island Other 99947 SS UHP

Popular Providers