Provider Demographics
NPI:1346018132
Name:VERSER, MADDISON PAIGE
Entity Type:Individual
Prefix:
First Name:MADDISON
Middle Name:PAIGE
Last Name:VERSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:CAVE CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72521-9799
Mailing Address - Country:US
Mailing Address - Phone:870-292-3294
Mailing Address - Fax:
Practice Address - Street 1:224 NORTH ST
Practice Address - Street 2:
Practice Address - City:CAVE CITY
Practice Address - State:AR
Practice Address - Zip Code:72521-9799
Practice Address - Country:US
Practice Address - Phone:870-292-3294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist