Individual
MADALYNN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7970 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-6100
Mailing address
1046 LIVINGSTON LAKES WAY, FORT WAYNE, IN 46818-1965
(260) 458-4884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008671A
IN
Other
Enumeration date
10/04/2021
Last updated
12/04/2024
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