Individual
MADISON MARY MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3459 5TH AVE, PITTSBURGH, PA 15213-3236
(412) 864-0575
Mailing address
3220 JANE ST, PITTSBURGH, PA 15203-2537
(484) 356-3826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL016209
PA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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