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NPI Code Detail

MEDICARE: MADISON LYNN-MAE HERRICK

MEDICARE: MADISON LYNN-MAE HERRICK
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1538904818
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON LYNN-MAE HERRICK
Provider Business Mailing Address
First Line : 429 WASHINGTON AVE STE 3
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2350
Country : US
Telephone Number : 412-319-7371
Fax Number :
Provider Business Practice Location Address
First Line : 429 WASHINGTON AVE STE 3
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2350
Country : US
Telephone Number : 412-319-7371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2024
Last Update Date : 02/19/2026

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Directions to “ MADISON LYNN-MAE HERRICK ” Practice Location

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