Individual
MADELINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018020941
MO
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
07/03/2018
Last updated
08/27/2019
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