Individual
MADISON MCCULLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
861 GLENN ST, PHILADELPHIA, PA 19115-1311
(267) 258-9246
Mailing address
861 GLENN ST, PHILADELPHIA, PA 19115-1311
(267) 258-9246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016076
PA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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