Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023366036 Individual Practitioner Female Practitioner

Cynthia Ann Provost , MHS, CCC, SLP, L

Speech-Language Pathologist • Bradley, IL

Professional Overview & Biography Verified Profile Summary

Cynthia Provost, MHS, CCC, SLP, L is a registered healthcare professional specializing in Speech-Language Pathologist in Bradley, IL. Practice services are available at 400 S KENNEDY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 S Kennedy Dr
Suite 600

Bradley, IL 609152682

Telephone 8159357496
Fax 8159357860
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bradley, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Bradley, IL (10321 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 IL 146.005338

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

5 Associated Practitioners
Qiana Goosby

Physical Therapist

NPI 1225393440
Anyia White

Behavior Technician

NPI 1386534550
Stanley Pavesich , COTA, L

Occupational Therapy Assistant

NPI 1386976371

Certified Occupational Therapy Assistant, L

Mary Ann Garcia , PT

Physical Therapist

NPI 1487905352

Physical Therapist

Rebecca Kvasnicka , MOT, OTR, L

Occupational Therapist

NPI 1851627426

Master of Occupational Therapy, Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 22, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2012

Registered at 400 S KENNEDY DR, SUITE 600, BRADLEY, IL 609152682 (Tel: 8159357496)

📍
Updated Business Mailing Address August 22, 2012

Registered at 6345 E 2000N RD, KANKAKEE, IL 609017504 (Tel: 8159399853)

👤
Provider Name / Credentials Updated August 22, 2012

Recorded as CYNTHIA PROVOST, MHS, CCC, SLP/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2012

Speech-Language Pathologist (License #146.005338 in IL)

🟢
Initial NPI Registration & Enumeration August 22, 2012

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: 1023366036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2012
Last Update: August 22, 2012
Sole Proprietor: No

Mailing Address

6345 E 2000n Rd

Kankakee, IL 609017504

Phone: 8159399853

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.