Madeline Pennebaker
Speech-Language Pathologist, in Somerville, Massachusetts
1164035630- Practice location
- 16 Buckingham St Apt 2, Somerville, MA 02143-4313
- Phone
- 617-475-0462
- Fax
- —
- Last updated
- August 25, 2020
Madeline Pennebaker is a Speech-Language Pathologist, based in Somerville, MA. Madeline Pennebaker practices in Somerville, MA. The NPI Number for Madeline Pennebaker is 1164035630 and holds a License No. 77697 (MA). The current practice location address for Madeline Pennebaker is 16 Buckingham St Apt 2, Somerville, MA 02143-4313 and can be reached out via phone at 617-475-0462.
Provider Profile Details
- NPI Number
- 1164035630
- Provider Name
- Madeline Pennebaker
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 16 Buckingham St Apt 2, Somerville, MA 02143-4313
- Phone Number
- 617-475-0462
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 25, 2020
- Last Update Date
- August 25, 2020
- Certification Date
- August 25, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16 Buckingham St Apt 2
Somerville, MA 02143-4313 - City
- Somerville
- State
- Massachusetts
- Zip
- 02143-4313
- Phone Number
- 617-475-0462
Provider Business Mailing Address Details
- Address
- 16 Buckingham St Apt 2
Somerville, MA 02143-4313 - City
- Somerville
- State
- MA
- Zip
- 02143-4313
- Phone Number
- 713-498-6194
License Information
- License Number
- 77697
- License State
- MA
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Somerville, MA
View all Speech-Language Pathologist, providers in Somerville →- Allison AmdurSpeech-Language Pathologist, · NPI 1992055644
- Allison R Koenig, MS CCC-SLPSpeech-Language Pathologist, · NPI 1184199556
- Anya Kroytor, MA, CCC-SLPSpeech-Language Pathologist, · NPI 1811353030
- Boston Reach For Speech Therapy, LLCSpeech-Language Pathologist, · NPI 1992427215
- Britni Schaffer, MS CCC-SLPSpeech-Language Pathologist, · NPI 1518396829
- Caila Walsh, CCC-SLPSpeech-Language Pathologist, · NPI 1861280935
Frequently Asked Questions
What is the NPI number of Madeline Pennebaker?
The NPI number of Madeline Pennebaker is 1164035630. It was assigned on August 25, 2020 and is currently active in the NPPES registry.
What is the specialty of Madeline Pennebaker?
Madeline Pennebaker is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 77697.
Where does Madeline Pennebaker practice?
The practice location is 16 Buckingham St Apt 2, Somerville, MA 02143-4313. The office can be reached at 617-475-0462 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164035630 directly on the NPPES registry website.