Madison Morneault

Individual provider Active NPI Speech-Language Pathologist · Vassalboro, ME

NPI 1952017758 · NPPES record last updated Jan 31, 2023

Key facts

NPI
1952017758
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
ST3731 (ME)
Practice address
1116 Webber Pond Rd
Vassalboro, ME 04989-3949
Phone
(207) 923-3100
NPI assigned
Jan 25, 2023
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

LicenseStateTypeSpecialty
ST3731MEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ST3731 ME Yes

Addresses

Primary practice location

1116 Webber Pond Rd
Vassalboro, ME 04989-3949

Mailing address

1116 Webber Pond Rd
Vassalboro, ME 04989-3949

Other providers in Vassalboro, ME

All providers in Vassalboro, ME · Speech-Language Pathologist in Maine

Sources for this page

Verify at the official NPI Registry.