MADELEINE PROVOST
NPI 1639061112
Speech-Language Pathologist in South Portland, ME

Active since July 17, 2025
117 SUMMIT TER APT 91, SOUTH PORTLAND, ME 04106(413) 386-5358 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Madeleine Provost NPPES

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

MADELEINE PROVOST (NPI 1639061112) is an individual speech-language pathologist provider in South Portland, Maine, licensed in Maine (SP4353) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1639061112
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMADELEINE PROVOST
Location Address117 SUMMIT TER APT 91South Portland, ME 04106-2276
Mailing Address117 Summit Ter Apt 91South Portland, ME 04106-2276 · (413) 386-5358
Sole ProprietorYes
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1639061112 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 ME · SP4353
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.
117 SUMMIT TER APT 91, South Portland, ME 04106

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 Madeleine Provost's NPI number?

The NPI number for Madeleine Provost is 1639061112. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Where is Madeleine Provost located?

Madeleine Provost practices at 117 Summit Ter Apt 91, South Portland, ME 04106. The listed phone number is (413) 386-5358.

What is Madeleine 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 Madeleine Provost was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.