Individual
MADELINE NICOLE HAYES BERKHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
104 SWISHER RD, LAKE DALLAS, TX 75065-2322
(940) 497-4039
Mailing address
104 SWISHER RD, LAKE DALLAS, TX 75065-2322
(940) 497-4039
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41917
TX
Other
Enumeration date
11/17/2023
Last updated
08/30/2024
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