National Provider Identifier
Courtney Provost, CCC-SLP
Courtney Provost, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Williamsville, NY and a listed phone number of (716) 856-4201.
Profile Overview
- NPI
- 1255915070
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 07, 2021
- Last Updated
- January 02, 2024
Practice Location
- 30 Wilson RD
- Williamsville, NY 14221-7026
Phone: (716) 856-4201
Mailing Address
- 800 Hertel Ave Ste 101
- Buffalo, NY 14207-1906
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1255915070
- Entity Type
- Individual
- Last Name
- Provost
- First Name
- Courtney
- Credential
- CCC-SLP
- Mailing Street Address
- 800 Hertel Ave Ste 101
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1906
- Mailing Country
- US
- Mailing Phone
- (716) 566-5050
- Practice Street Address
- 30 Wilson RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7026
- Practice Country
- US
- Practice Phone
- (716) 856-4201
- Enumeration Date
- May 07, 2021
- Last Updated
- January 02, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 02, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 06435267 (NY), 07014708 (NY)