Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407065535 Individual Practitioner Female Practitioner

Maria Heribertha Provencio , MA CCC-SLP

Speech-Language Pathologist • Madera, CA

Professional Overview & Biography Verified Profile Summary

Maria Provencio, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Madera, CA. Practice services are available at 9300 VALLEY CHILDRENS PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9300 Valley Childrens Pl

Madera, CA 936368761

Telephone 5593533000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Madera, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
32 Specialists

Practicing in Madera, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% 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 12864

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

40 Associated Practitioners
Kristin Van Horn

Occupational Therapist

NPI 1003527730
Rachel Garcia-Walker

Social Worker - Clinical

NPI 1003564006
Wendy Garbarino , MA

Speech-Language Pathologist

NPI 1013391853

Master of Arts

Michael Alaniz , PT

Physical Therapist

NPI 1013626175

Physical Therapist

Shari Moses

Nurse Practitioner - Family

NPI 1023810249
Sahithi Pemmasani

Emergency Medicine - Pediatric Emergency Medicine

NPI 1033733142

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2017

Registered at 9300 VALLEY CHILDRENS PL, MADERA, CA 936368761 (Tel: 5593533000)

📍
Updated Business Mailing Address March 01, 2017

Registered at 9898 N WINERY AVE, FRESNO, CA 937205435 (Tel: 5593237458)

👤
Provider Name / Credentials Updated March 01, 2017

Recorded as MARIA PROVENCIO, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2017

Speech-Language Pathologist (License #12864 in CA)

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 9898 N WINERY AVE, FRESNO, CA 937205435 (Tel: 5593237458)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARIA PROVENCIO

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

Speech-Language Pathologist (License #12864 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

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NPI Administrative Meta

NPI Number: 1407065535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: March 01, 2017
Sole Proprietor: Yes

Mailing Address

9898 N Winery Ave

Fresno, CA 937205435

Phone: 5593237458

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.