Doctor Name: | MRS. LISA GAYLE MADDEN |
NPI Number: | 1649328337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCCSLP |
License Number: | 882 |
Business Practice Address: | 2184 Us Highway 67 N Prescott, AR - 718577754 |
Business Phone Number: | 8707032188 |
Business Fax Number: | |
Mailing Address: | 2184 Us Highway 67 N, PRESCOTT |
State: | AR |
Postal Code: | 718577754 |
Phone Number: | 8707032188 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |