Individual
MADISON PASSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
17520 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3903
(225) 300-6710
(225) 300-6712
Mailing address
17520 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3903
(225) 300-6710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8918
LA
235Z00000X
Speech-Language Pathologist
S4673
MS
Other
Enumeration date
07/13/2020
Last updated
07/05/2023
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