Individual
MS. MADELINE JAYNE MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4 SHAPE DR, KENNEBUNK, ME 04043-6760
(207) 662-5143
(207) 661-8104
Mailing address
4 SHAPE DR, KENNEBUNK, ME 04043-6760
(207) 662-5143
(207) 661-8104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
78351-SP-SL
MA
235Z00000X
Speech-Language Pathologist
Primary
SP4319
ME
Other
Enumeration date
03/18/2022
Last updated
11/01/2025
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