Maia Nystrum Braden M.S., CCC-SLP

NPI 1629268420 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1629268420
Gender Female
Enumeration Date 07/27/2007
Last Updated 03/11/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1675 HIGHLAND AVE
MAILCODE C225
MADISON WI, 53792-0002, US
Phone (608) 262-3695
Fax (608) 265-7004
Business Location
1675 HIGHLAND AVE
MAILCODE C225
MADISON WI, 53792-0002, US
Phone (608) 262-3695
Fax (608) 265-7004
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 3198-154
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According to our database, Maia Nystrum Braden M.S., CCC-SLP NPI is 1629268420, taxonomy code is 235Z00000X and license number is 3198-154, license state is located at Wisconsin. Maia Nystrum Braden M.S., CCC-SLP physically located at 1675 Highland Ave, Madison WI, 53792-0002. NPI Number Maia Nystrum Braden M.S., CCC-SLP has the Individual type.

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1629268420 NPI number is provided on an as is basis without warranty of any kind. 1629268420 is maintained by the National Plan & Provider Enumeration System. The contents of Maia Nystrum Braden M.S., CCC-SLP are for informational purposes only.