Madeline Rose Shane
NPI #1275261158 in Belleville, Illinois
Provider Information
- NPI Number
- 1275261158
- Entity Type
- Individual
- Name
- Madeline Rose Shane
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 9, 2022
- Last Updated
- Aug 9, 2022
Practice Location
- Address
- 2900 FRANK SCOTT PKWY W STE 928
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-5000
- Phone
- (618) 234-9705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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