MEDICARE: MADELAINE MARIE SEYER CF-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
1	235Z00000X	Speech-Language Pathologist	9371144	ID

General Provider Information

NPI Number	:	1326857095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELAINE MARIE SEYER CF-SLP

Provider Business Mailing Address
First Line	:	3400 E RIVER VALLEY ST APT C302
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-2309
Country	:	US
Telephone Number	:	503-729-6522
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 W STATE ST STE C
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-6428
Country	:	US
Telephone Number	:	208-996-0828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/06/2025

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Directions to “ MADELAINE MARIE SEYER CF-SLP” Practice Location

Language	Start Address	Practice Location

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