Provider Demographics
NPI:1508539065
Name:DAOUST, MADELINE L (CF-SLP)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:L
Last Name:DAOUST
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 1:535 CURRAN HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-3901
Mailing Address - Country:US
Mailing Address - Phone:413-664-9345
Mailing Address - Fax:
Practice Address - Street 1:535 CURRAN HWY
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-3901
Practice Address - Country:US
Practice Address - Phone:413-664-9345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency