Organization
MADISON SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE SEVERSON (OWNER)
(608) 313-5632
Entity
Organization
Contact information
Practice address
613 SHEARWATER ST, MADISON, WI 53714-3351
(608) 313-5632
(608) 716-3130
Mailing address
613 SHEARWATER ST, MADISON, WI 53714-3351
(608) 313-5632
(608) 716-3130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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