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Stephanie Madill

Speech-Language Pathologist, in Brandon, FL. Individual provider (NPI-1).

NPI number1003045253
StatusActive
Last updated in NPPESJul 9, 2009

Details

NPI
1003045253
Entity type
Individual (NPI-1)
Name
Stephanie Madill
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2009
Last updated
Jul 9, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SZ4796FLYes

Practice location

602 Vonderburg Dr
Suite 201
Brandon, FL 33511-5900

Phone 813-653-1149 · Fax 813-654-6644

Mailing address

602 Vonderburg Dr
Suite 201
Brandon, FL 33511-5900

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