Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Madison, MACCC/SLP

Individual provider Speech-Language Pathologist · NPI 1700047479

Lisa Madison, MACCC/SLP is a Speech-Language Pathologist in Portland, Maine. Licensed in Maine. Registered with an NPI since 2008.

Licensed in
ME
In the registry since
2008

Practice location Address checks out

196 Allen Ave
Portland, ME 04103-3711
Phone: (207) 874-8133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP1475 (ME)

Record details

NPI number1700047479
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC/SLP
Sole proprietorNo
NPI enumeratedJune 24, 2008
Last updated in NPPESOctober 27, 2010
Mailing address196 Allen Ave, Portland, ME 04103-3711

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