| Ms Jeannette G Provance, | |
|
505 Burkhart, Malden, MO 63863 | |
| (573) 276-5791 | |
| (573) 276-4993 |
| Full Name | Ms Jeannette G Provance |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 505 Burkhart, Malden, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619095544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 0334890 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jeannette G Provance, 505 Burkhart, Malden, MO 63863 Ph: (573) 276-5791 | Ms Jeannette G Provance, 505 Burkhart, Malden, MO 63863 Ph: (573) 276-5791 |
Sarah Knight, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 W Burkhart St, Malden, MO 63863 Phone: 573-276-5794 | |
Mary Cook, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 Burkhart St, Malden, MO 63863 Phone: 573-276-5794 | |
Ms. Cynthia C Hubbard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 Burkhart, Malden, MO 63863 Phone: 573-276-5791 Fax: 573-276-4993 | |
Mrs. Tisha S Earnheart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 505 Burkhart, Malden, MO 63863 Phone: 573-276-5791 Fax: 573-276-4993 |