Individual
ADRIENNE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
16102 N FLORIDA AVE, LUTZ, FL 33549-6129
(813) 873-1936
(813) 873-8837
Mailing address
8710 N HAMNER AVE, TAMPA, FL 33604-1232
(407) 694-1948
(813) 873-8873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA19285
FL
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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