Individual
DR. STEVEN GLEN MADIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., CCC-A-SLP
Contact information
Practice address
120 ROBINSON HALL, RUSTON, LA 71272-0001
(318) 257-4764
(318) 257-4492
Mailing address
120 ROBINSON HALL, RUSTON, LA 71272-0001
(318) 257-4764
(318) 257-4492
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
5076
LA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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