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NPI Code Detail

MEDICARE: MRS. MADISON JAN STONESTREET M.S., CCC-SLP

MEDICARE: MRS. MADISON JAN STONESTREET M.S., CCC-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 Pathologist111550TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1111550OTHERTXTEXAS STATE SPEECH PATHOLOGY LICENSE
214068573OTHERASHA NATIONAL LICENSE

General Provider Information

NPI Number : 1326395666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MADISON JAN STONESTREET M.S., CCC-SLP
Provider Business Mailing Address
First Line : 4443 N JOSEY LN STE 100
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-4677
Country : US
Telephone Number : 972-394-8900
Fax Number :
Provider Business Practice Location Address
First Line : 4443 N JOSEY LN STE 100
Second Line :
City : CARROLLTON
State : TX
Zip : 75010-4677
Country : US
Telephone Number : 972-394-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2012
Last Update Date : 06/03/2019

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Directions to “ MRS. MADISON JAN STONESTREET M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
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