| Mrs Nicole Provornov, | |
|
4291 Madison Ave, Trumbull, CT 06611-2739 | |
| (917) 385-7655 | |
| Not Available |
| Full Name | Mrs Nicole Provornov |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4291 Madison Ave, Trumbull, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366872129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 58022604 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Provornov, 4291 Madison Ave, Trumbull, CT 06611-2739 Ph: (917) 385-7655 | Mrs Nicole Provornov, 4291 Madison Ave, Trumbull, CT 06611-2739 Ph: (917) 385-7655 |
Mrs. Ivette Cosme, M.A.CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 434 Erwin St, Trumbull, CT 06611 Phone: 917-640-4138 Fax: 203-386-0440 | |
Mrs. Sally Ellen Connolly, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5893 Main St, Trumbull, CT 06611 Phone: 203-268-8852 | |
Rhegan Fisher, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 Cook Cir, Trumbull, CT 06611 Phone: 203-816-7305 | |
Mrs. Lauren Gunningsmith, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6448 Main St, Trumbull, CT 06611 Phone: 203-268-6204 | |
Ms. Danielle Carley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 Rexview Cir, Trumbull, CT 06611 Phone: 203-520-4258 | |
Ms. Betty Jeanne Nelson, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 95 Merritt Blvd, Trumbull, CT 06611 Phone: 203-386-2722 |