Alexandra Madeline, MA CCC-SLP
Speech-Language Pathologist, in Canfield, OH. Individual provider (NPI-1).
NPI number1265856751
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1265856751
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Madeline
- Credential
- MA CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2014
- Certification date
- Oct 21, 2020
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 11398 | OH | Yes |
| 235Z00000X | Speech-Language Pathologist, | COND.2013240 | OH |
Practice location
7320 N Palmyra RdCanfield, OH 44406-9709
Phone 330-533-8755
Mailing address
7320 N Palmyra RdCanfield, OH 44406-9709
Phone 330-533-8755
Other practice locations
10466 Taylor Rd Sw
Etna, OH 43068-3249
Etna, OH 43068-3249
Phone 614-501-5500
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Speech-Language Pathologist providers in Canfield · All 623 providers in Canfield
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