Individual
MADISON PRYOR CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8478 RAINBOW BRIDGE LN, SPRINGFIELD, VA 22153-2513
(901) 484-8596
Mailing address
8478 RAINBOW BRIDGE LN, SPRINGFIELD, VA 22153-2513
(901) 484-8596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2019045744
MO
235Z00000X
Speech-Language Pathologist
Primary
2202009565
VA
Other
Enumeration date
08/24/2017
Last updated
10/12/2023
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