Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306055447 Individual Practitioner Female Practitioner

Dora Provencio

Speech-Language Pathologist • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Dora Provencio is a registered healthcare professional specializing in Speech-Language Pathologist in Fresno, CA. Practice services are available at 7300 N FRESNO ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7300 N Fresno St

Fresno, CA 937202941

Telephone 5594483612
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1083784672

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
178 Specialists

Practicing in Fresno, CA (13280 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 8793

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sabrina Nii

Speech-Language Pathologist

NPI 1033323340
Joanne Jimenez , PT

Physical Therapist

NPI 1740346832

Physical Therapist

Joanne Telesmanic

Speech-Language Pathologist

NPI 1831302397

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 7300 N FRESNO ST, FRESNO, CA 937202941 (Tel: 5594483612)

📍
Updated Business Mailing Address July 08, 2007

Registered at 37118 DUNLAP RD, SQUAW VALLEY, CA 936759606 (Tel: 5593389121)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DORA PROVENCIO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #8793 in CA)

🟢
Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dora Provencio. Be the first to share your experience!

Sign in to leave a review for Dora Provencio

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306055447
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

37118 Dunlap Rd

Squaw Valley, CA 936759606

Phone: 5593389121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.