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DORA PROVENCIO
NPI 1306055447
Speech-Language Pathologist in Fresno, CA

Active since May 22, 2007
7300 N FRESNO ST, FRESNO, CA 93720(559) 448-3612 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dora Provencio NPPES

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

DORA PROVENCIO (NPI 1306055447) is an individual speech-language pathologist provider in Fresno, California, licensed in California (8793) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1306055447
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDORA PROVENCIO
Location Address7300 N FRESNO STFresno, CA 93720-2941
Mailing Address37118 Dunlap RdSquaw Valley, CA 93675-9606 · (559) 338-9121
Phone(559) 448-3612
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306055447 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 CA · 8793
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.
7300 N FRESNO ST, Fresno, CA 93720
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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.

MAULIK SHAH MD
Internal Medicine
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4555
DR. LYNICE FOU PHARM.D.
Pharmacist
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-3305
DR. JUSTIN LEE MASSENGALE M.D.
Neurological Surgery
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4000
NILUFER RAJ GOYAL-SHOCKLEY M.D.
Pediatrics
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4500
HAYDEN WONG
Emergency Medicine
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 554-6634
KELVIN GIN SUN LEE MD
Allergy & Immunology
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4500
KEVIN DIPONDO OUMA MD
Internal Medicine
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (559) 448-4500
WENCHANG GUO
Pathology (Anatomic Pathology & Clinical Pathology)
7300 N FRESNO ST
FRESNO, CA 93720
Fresno County (415) 680-5220

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 Dora Provencio's NPI number?

The NPI number for Dora Provencio is 1306055447. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Dora Provencio located?

Dora Provencio practices at 7300 N Fresno St, Fresno, CA 93720. The listed phone number is (559) 448-3612.

What is Dora Provencio'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 Dora Provencio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.