Individual
MADISON STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BARNSTAPLE DR, DANIELS, WV 25832-9298
(330) 931-8606
Mailing address
401 BARNSTAPLE DR, DANIELS, WV 25832-9298
(330) 931-8606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0909
WV
235Z00000X
Speech-Language Pathologist
Primary
2297
WV
Other
Enumeration date
12/07/2022
Last updated
05/19/2026
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