Provider Demographics
NPI:1326857095
Name:SEYER, MADELAINE MARIE (CF-SLP)
Entity type:Individual
Prefix:
First Name:MADELAINE
Middle Name:MARIE
Last Name:SEYER
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 E RIVER VALLEY ST APT C302
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-2309
Mailing Address - Country:US
Mailing Address - Phone:503-729-6522
Mailing Address - Fax:
Practice Address - Street 1:6001 W STATE ST STE C
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83703-6428
Practice Address - Country:US
Practice Address - Phone:208-996-0828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID9371144235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist