Individual
MADELINE ELIZABETH DULAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CF SLP
Contact information
Practice address
6502 LILAC ST, PITTSBURGH, PA 15217-3034
(412) 529-4035
Mailing address
2539 WASHINGTON RD, PITTSBURGH, PA 15241-2500
(724) 941-4434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YYM102865623001
HIGHMARK BLUE CROSS BLUE SHIELD
PA
Enumeration date
08/05/2021
Last updated
08/05/2021
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