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Individual

KRISTINE N MADAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
175 S UNION BLVD, SUITE 255, COLORADO SPRINGS, CO 80910-3126
(719) 305-8000
(719) 305-8001
Mailing address
175 S UNION BLVD, SUITE 255, COLORADO SPRINGS, CO 80910-3126
(719) 305-8000
(719) 305-8001

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
9125
MN
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001929
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94278032
CO
Enumeration date
02/05/2015
Last updated
10/28/2015
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