IndividualActive
Cynthia Provost, MHS, CCC, SLP/L
NPI 1023366036 · Speech-Language Pathologist · Bradley, IL
Provider details
- NPI number
- 1023366036
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MHS, CCC, SLP/L
- Sex
- Female
- Sole proprietor
- No
- License
- 146.005338 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 S Kennedy Dr
Suite 600
Bradley, IL 60915-2682
Phone: (815) 935-7496
Fax: (815) 935-7860
Street-level locationGet directions
Mailing address
6345 E 2000n Rd
Kankakee, IL 60901-7504
Registry dates
- Enumerated
- 2012-08-22
- Last updated
- 2012-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.