Individual
MAIA NYSTRUM BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1675 HIGHLAND AVE, MAILCODE C225, MADISON, WI 53792-0002
(608) 262-3695
(608) 265-7004
Mailing address
1675 HIGHLAND AVE, MAILCODE C225, MADISON, WI 53792-0002
(608) 262-3695
(608) 265-7004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3198-154
WI
Other
Enumeration date
07/27/2007
Last updated
01/11/2021
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