Provider Demographics
NPI:1013682921
Name:BROWER, MADISON S
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:S
Last Name:BROWER
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 1:19 ORCHARD HTS
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-1530
Mailing Address - Country:US
Mailing Address - Phone:631-275-6151
Mailing Address - Fax:
Practice Address - Street 1:19 ORCHARD HTS
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1530
Practice Address - Country:US
Practice Address - Phone:631-275-6151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist