Madeline Kate Blundell, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Ruston, LA
NPI 1689563751 · NPPES record last updated Jul 2, 2025
Key facts
- NPI
- 1689563751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9638 (LA)
- Practice address
- 1316 E Kentucky Ave
Ruston, LA 71270-6609 - Phone
- (318) 224-9081
- NPI assigned
- Jul 2, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9638 | LA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9638 | LA | Yes |
Addresses
Primary practice location
1316 E Kentucky Ave
Ruston, LA 71270-6609
Mailing address
1316 E Kentucky Ave
Ruston, LA 71270-6609
Phone (318) 224-9081
Other providers in Ruston, LA
- Robert Marcus Black
- Aimee Blackham
- Cody Blackwelder
- Mark Blackwelder
- Allie Blackwood
- Boersma Clinic, LLC
- Taylor Blake Boggs
- Bonnie Lejeune Buller, LLC
- Heather Taylor Boone
- Brandi Elizabeth Bordelon
All providers in Ruston, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.