MRS. Madison Mauffray Perniciaro, MSCCCSLP
NPI #1639052434 in Long Beach, Mississippi
Provider Information
- NPI Number
- 1639052434
- Entity Type
- Individual
- Name
- MRS. Madison Mauffray Perniciaro, MSCCCSLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MSCCCSLP
- Enumeration Date
- Jul 29, 2025
- Last Updated
- Jul 29, 2025
Practice Location
- Address
- 730 E BEACH BLVD
- City
- Long Beach
- State
- Mississippi
- ZIP Code
- 39560-6259
- Phone
- (228) 214-3311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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