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NPI Code Detail

MEDICARE: MADELINE MILLIS SLP

MEDICARE: MADELINE MILLIS 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 Pathologist14419867AR

General Provider Information

NPI Number : 1881323780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE MILLIS SLP
Provider Business Mailing Address
First Line : 3400 N WOODS LN
Second Line :
City : ROGERS
State : AR
Zip : 72756-6712
Country : US
Telephone Number : 479-636-3190
Fax Number :
Provider Business Practice Location Address
First Line : 3400 N WOODS LN
Second Line :
City : ROGERS
State : AR
Zip : 72756-6712
Country : US
Telephone Number : 479-636-3190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2022
Last Update Date : 01/08/2026

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Directions to “ MADELINE MILLIS SLP” Practice Location

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