Provider Demographics
NPI:1851985360
Name:MADALYN HOWARD, M.S., CCC-SLP, LLC
Entity Type:Organization
Organization Name:MADALYN HOWARD, M.S., CCC-SLP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MADALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:318-805-1236
Mailing Address - Street 1:180 FORE RD
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:LA
Mailing Address - Zip Code:71435-3619
Mailing Address - Country:US
Mailing Address - Phone:318-805-1236
Mailing Address - Fax:
Practice Address - Street 1:180 FORE RD
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:LA
Practice Address - Zip Code:71435-3619
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty