Individual
MRS. LISA GAYLE MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCCSLP
Contact information
Practice address
2184 US HIGHWAY 67 N, PRESCOTT, AR 71857-7754
(870) 703-2188
Mailing address
2184 US HIGHWAY 67 N, PRESCOTT, AR 71857-7754
(870) 703-2188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
882
AR
Other
Enumeration date
01/08/2007
Last updated
07/09/2007
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