Individual
MADELINE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
405 S MORRISON RD APT 59, MUNCIE, IN 47304-4011
(765) 894-2488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004566A
IN
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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