Organization
MADISON SPEECH METHODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G MADISON M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST / OWNER)
(207) 730-0850
Entity
Organization
Contact information
Practice address
29 BENNETT ST, SOUTH PORTLAND, ME 04106-4430
(207) 730-0850
Mailing address
29 BENNETT ST, SOUTH PORTLAND, ME 04106-4430
(207) 730-0850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1475
ME
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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