Most Relevant Information
Provider Data
| NPI Number: | 1003294778 |
| Provider Name: | MADISON PLUMMER M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2015 |
| Last Updated: | 06/30/2020 |
Provider Practice Location
6186 SEASIDE DRIVE
NEW PORT RICHEY
FL
34652
Practice Location Phone/Fax
| Phone: | 7278101105 |
| Fax: |
Provider Mailing Location
6186 SEASIDE DRIVE
NEW PORT RICHEY
FL
34652
Provider Mailing Phone/Fax
| Phone: | 7278101105 |
| Fax: |