Provider Demographics
NPI:1700605649
Name:DASHER, MADISON (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:DASHER
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:
Other - Last Name:CHERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:850 S STAGECOACH RD
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-8184
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:850 S STAGECOACH RD
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-8184
Practice Address - Country:US
Practice Address - Phone:410-507-5388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist