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CYNTHIA ANN PROVOST MHS, CCC, SLP/L
NPI 1023366036
Speech-Language Pathologist in Bradley, IL

Active since August 22, 2012
400 S KENNEDY DR, SUITE 600, BRADLEY, IL 60915(815) 935-7496(815) 935-7860 Get Directions Write a Review

NPPES record last updated: August 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia Ann Provost Mhs, Ccc, Slp/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA ANN PROVOST MHS, CCC, SLP/L (NPI 1023366036) is an individual speech-language pathologist provider in Bradley, Illinois, licensed in Illinois (146.005338) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1023366036
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCYNTHIA ANN PROVOSTCredential: MHS, CCC, SLP/L
Location Address400 S KENNEDY DR, SUITE 600Bradley, IL 60915-2682
Mailing Address6345 E 2000n RdKankakee, IL 60901-7504 · (815) 939-9853 · Fax (815) 935-7860
Phone(815) 935-7496
Fax(815) 935-7860
Sole ProprietorNo
Enumeration DateAugust 22, 2012
✔ NPI 1023366036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 146.005338
Definition
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.
400 S KENNEDY DR, Bradley, IL 60915
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA MARIE DAVAULT OT
Physical Therapist
400 S KENNEDY DR
BRADLEY, IL 60915
Kankakee County (815) 928-8051
ROBIN MOTZ LCSW
Social Worker (Clinical)
400 S KENNEDY DR
BRADLEY, IL 60915
Kankakee County (779) 701-2000
KRISTIN L FIELDS PA-C
Physician Assistant (Surgical)
400 S KENNEDY DR
BRADLEY, IL 60915
Kankakee County (815) 928-0860
STEPHEN A HERMES MD
Internal Medicine (Geriatric Medicine)
400 S KENNEDY DR, SUITE 200
BRADLEY, IL 60915
Kankakee County (815) 933-0007
RIVERSIDE MEDICAL CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
400 S KENNEDY DR
BRADLEY, IL 60915
Kankakee County (815) 935-7256
JENNIFER LYN JAMES LCPC
Counselor (Professional)
400 S KENNEDY DR
BRADLEY, IL 60915
Kankakee County (815) 937-1237
TINA PALANCHAR OTR
Occupational Therapist
400 S KENNEDY DR, SUITE 500
BRADLEY, IL 60915
Kankakee County (815) 936-0400
ROSAURA GARCIA FNP-BC
Nurse Practitioner (Family)
400 S KENNEDY DR
BRADLEY, IL 60915
Kankakee County (815) 935-7532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Provost's NPI number?

The NPI number for Cynthia Provost is 1023366036. It was assigned to this individual provider in the NPPES registry on August 22, 2012.

Where is Cynthia Provost located?

Cynthia Provost practices at 400 S Kennedy Dr Suite 600, Bradley, IL 60915. The listed phone number is (815) 935-7496.

What is Cynthia Provost's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Cynthia Provost was last updated on August 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.