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CHRISTINE MARIE PROVENCHER
NPI 1689375669
Speech-Language Pathologist in San Diego, CA

Active since March 15, 2023
13223 BLACK MOUNTAIN RD # 1358, SAN DIEGO, CA 92129(619) 672-8387 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christine Marie Provencher NPPES

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

CHRISTINE MARIE PROVENCHER (NPI 1689375669) is an individual speech-language pathologist provider in San Diego, California, licensed in California (SP34708) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1689375669
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCHRISTINE MARIE PROVENCHER
Location Address13223 BLACK MOUNTAIN RD # 1358San Diego, CA 92129-2698
Mailing Address13223 Black Mountain Rd # 1358San Diego, CA 92129-2698
Phone(619) 672-8387
Sole ProprietorNo
Enumeration DateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1689375669 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 · SP34708
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.
13223 BLACK MOUNTAIN RD # 1358, San Diego, CA 92129
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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.

BRITTANY THOMPSON
Occupational Therapist
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129
San Diego County (443) 838-3466
ANTHONY VIDAURRI AVITABILE
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129
San Diego County (858) 753-5082
ABIGAIL PRISCILLA CHANEY M.S., CCC-SLP
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129
San Diego County (949) 510-1504
NAOMI LAUREN WHITE MOT, OTR/L
Occupational Therapist
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129
San Diego County (858) 753-5082
KATHERINE MCKELL CCC-SLP
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129
San Diego County (682) 554-0610
EMILY M WELCH
Speech-Language Pathologist
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129
San Diego County (760) 822-6418
LISA PHUONG-LINH VU MS, OTR/L
Occupational Therapist
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129
San Diego County (858) 753-5082
TAYLOR MARIE WALTER DPT
Physical Therapist (Pediatrics)
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129
San Diego County (858) 753-5082

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 Christine Provencher's NPI number?

The NPI number for Christine Provencher is 1689375669. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Christine Provencher located?

Christine Provencher practices at 13223 Black Mountain Rd # 1358, San Diego, CA 92129. The listed phone number is (619) 672-8387.

What is Christine Provencher'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 Christine Provencher was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.