Provider Demographics
NPI:1487424776
Name:MARSH, MADISON S
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:S
Last Name:MARSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 S MONACO PKWY APT 131
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1201
Mailing Address - Country:US
Mailing Address - Phone:970-589-5058
Mailing Address - Fax:
Practice Address - Street 1:3825 S MONACO PKWY APT 131
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1201
Practice Address - Country:US
Practice Address - Phone:970-589-5058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist