Individual
MADISON MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
3400 BELTSVILLE RD, CALVERTON, MD 20705-3312
(631) 905-5540
Mailing address
1520 INDEPENDENCE AVE SE APT 301, WASHINGTON, DC 20003-1546
(631) 905-5540
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01940L
MD
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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