Individual
MADISON MICHELLE HISSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8555 MONROVIA ST, LENEXA, KS 66215-2895
(913) 213-3531
Mailing address
5030 INDIAN CREEK PKWY APT 108, OVERLAND PARK, KS 66207-4089
(913) 215-8751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3889
KS
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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