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NPI Code Detail

MEDICARE: MADISON WEIR SLP

MEDICARE: MADISON WEIR SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist203395AR

General Provider Information

NPI Number : 1114884855
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON WEIR SLP
Provider Business Mailing Address
First Line : 2911 LONGVIEW DR STE B
Second Line :
City : JONESBORO
State : AR
Zip : 72401-5902
Country : US
Telephone Number : 870-336-0238
Fax Number : 870-336-0239
Provider Business Practice Location Address
First Line : 2911 LONGVIEW DR STE B
Second Line :
City : JONESBORO
State : AR
Zip : 72401-5902
Country : US
Telephone Number : 870-336-0238
Fax Number : 870-336-0239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ MADISON WEIR SLP” Practice Location

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