Individual
MRS. MADELYN KRIEGER DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4552 HIGHWAY 53, POPLARVILLE, MS 39470-4156
(601) 795-2043
(601) 795-2025
Mailing address
90 GOOD ST, BAY ST LOUIS, MS 39520-8970
(504) 669-0810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3225
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
MS
Enumeration date
09/10/2013
Last updated
09/10/2013
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