Madison L. Brazeel MS, CCC-SLP
Speech-Language Pathologist in Bismarck, ND(View on Map)
Full Name
Madison Lauren Brazeel MS, CCC-SLP
NPI Number
1023590643
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/30/2018
Specialties
(Taxonomies)Licenses
State
California
North Dakota
License Number
RBT-18-64141
1947
Contact
Information
Purpose
Mailing
Location
Address
2625 N 19TH ST
2625 N 19TH ST
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58503-0574
58503-0574
Country
US
US
Telephone Number
(701) 222-3175
(701) 222-3175
Identifiers
Identifier
1483045
Identifier State
ND
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/19/2022