Provider Demographics
NPI:1114597762
Name:LESTER, MADISON PAIGE (CF-SLP)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:PAIGE
Last Name:LESTER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 SHORT ST APT B
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-2752
Mailing Address - Country:US
Mailing Address - Phone:706-459-8847
Mailing Address - Fax:
Practice Address - Street 1:1020 SHORT ST APT B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2752
Practice Address - Country:US
Practice Address - Phone:706-459-8847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-27
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist