| NPI | 1124560123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA G MADISON Speech Language Pathologist / Owner 207-730-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME SP1475) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |