Individual
MRS. MADELINE M. BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
2925 POLO PKWY, MIDLOTHIAN, VA 23113-1453
(804) 323-9060
Mailing address
2925 POLO PKWY, MIDLOTHIAN, VA 23113-1453
(804) 323-9060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002537
VA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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