Individual
MRS. MADISON MAUFFRAY PERNICIARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
730 E BEACH BLVD, LONG BEACH, MS 39560-6259
(228) 214-3311
(228) 214-3262
Mailing address
730 E BEACH BLVD, LONG BEACH, MS 39560-6259
(228) 214-3311
(228) 214-3262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4952
MS
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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