| Elizabeth Provencio, | |
|
4554 Laclede Ave Apt 308, Saint Louis, MO 63108-2147 | |
| (217) 553-1786 | |
| Not Available |
| Full Name | Elizabeth Provencio |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4554 Laclede Ave Apt 308, Saint Louis, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457182214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP6047 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Provencio, 1 Boschert Creek Dr, Saint Peters, MO 63376-5951 Ph: (575) 635-2516 | Elizabeth Provencio, 4554 Laclede Ave Apt 308, Saint Louis, MO 63108-2147 Ph: (217) 553-1786 |
Rebecca Annice Hoyt, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 N Gore Ave, Saint Louis, MO 63119 Phone: 314-919-4700 | |
Maureen Mersman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8150 | |
Margaret Walkenhorst, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8150 | |
Ms. Maureen Elaine Neukirch, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Timber Run Dr, Saint Louis, MO 63146 Phone: 314-469-0606 Fax: 314-469-3294 | |
Rachel Kathleen Cardaci, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 N 11th St, Saint Louis, MO 63101 Phone: 314-633-5300 | |
Kristen Anne Ottenlips, MA CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8100 | |
Mariglenn Golden Boggs, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12110 Clayton Rd, Saint Louis, MO 63131 Phone: 314-989-8100 |