MS. JEANNETTE G PROVANCE (NPI# 1619095544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619095544 |
| Entity Type | Individual |
| Full Name | MS. JEANNETTE G PROVANCE |
| Practice Address |
505 Burkhart Malden MO 63863 |
| Practice Telephone | 5732765791 |
| Practice Fax Number | 5732764993 |
| Mailing Telephone | 5732765791 |
| Mailing Fax Number | 5732764993 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 0334890 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
505 BURKHART |
| City | MALDEN |
| State | MO |
| Zip Code | 63863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790801736 | Tisha S Earnheart | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-21 |
| 1730208588 | Cynthia C Hubbard | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396253712 | Sage Creek Home Care LLC | Homemaker | 101 N Madison, Malden, MO 63863 | 2018-01-19 |
| 1225153026 | Malden R-i School District | Local Education Agency (LEA) | 505 Burkhart Street, Malden, MO 63863 | 2007-03-20 |
| 1245395292 | Ray D Bess | Optometrist | 107 East Main St, Malden, MO 63863 | 2006-12-27 |
| 1346301504 | Dexter Hosptial LLC | Clinic/Center | 1707 N Doulgas, Malden, MO 63863 | 2006-12-12 |
| 1215445630 | Sage Creek LLC | Homemaker | 101 N Madison, Malden, MO 63863 | 2018-01-19 |
| 1275717233 | Rita Knight-ritchie Dba Friends In-home Services | Home Health | 3020 Douglas Hwy. 25 North, Malden, MO 63863-0197 | 2007-12-26 |
| 1215003280 | Rita D. Knight-ritchie Dba Friends In-home Services | Home Health | 3020 N. Douglas, Malden, MO 63863-0197 | 2006-11-28 |
| 1417194739 | Malden Chiropractic Health Center, P.C. | Chiropractor | 2103 N Douglass St, Malden, MO 63863-1141 | 2009-01-08 |
| 1972554392 | Ggnsc Malden II LLC | Skilled Nursing Facility | 500 Barrett Dr, Malden, MO 63863-1204 | 2006-05-12 |
| 1952812430 | Dyrly Dy | Physical Therapist | 500 Barrett Dr, Malden, MO 63863-1204 | 2017-10-23 |
| Find all providers in zip 63863 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377331 | Sarah Wilson | Speech-Language Pathologist | 505 W Burkhart St, Malden, MO 63863-1445 | 2019-10-10 |
| 1881091338 | Caroline Legor | Speech-Language Pathologist | 18 Clifton St, Malden, MA 02148-2620 | 2014-11-28 |
| 1821304106 | Abby Michelle Silverman | Speech-Language Pathologist | 43 Dartmouth St, Malden, MA 02148-5103 | 2010-08-25 |
| 1316266315 | Charlotte C Lunde | Speech-Language Pathologist | 220 E Border Rd, Malden, MA 02148-1030 | 2010-05-31 |
| 1790801736 | Tisha S Earnheart | Speech-Language Pathologist | 505 Burkhart, Malden, MO 63863 | 2007-03-21 |
| 1790340016 | Amanda Kay Weaver | Speech-Language Pathologist | 214 Commercial St, Malden, MA 02148-6716 | 2019-05-02 |
| 1043765597 | Adrian Tatro | Speech-Language Pathologist | 214 Commercial St, Malden, MA 02148-6716 | 2016-08-24 |
| 1609231695 | Mary Cook | Speech-Language Pathologist | 505 Burkhart St, Malden, MO 63863-1445 | 2015-12-18 |
| 1376928135 | Kimberly Grzesik | Speech-Language Pathologist | 214 Commercial St, Malden, MA 02148-6716 | 2015-07-22 |
| 1457754160 | Katherine Galante | Speech-Language Pathologist | 214 Commercial St, Malden, MA 02148-6716 | 2014-10-08 |
| Find all providers in MALDEN | ||||
Please comment or provide details below to improve the information on MS. JEANNETTE G PROVANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.