Madeline Jackson Canady, CCC-SLP
Speech-Language Pathologist, in Saint Petersburg, FL. Individual provider (NPI-1).
NPI number1992267009
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1992267009
- Entity type
- Individual (NPI-1)
- Name
- Madeline Jackson Canady
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2019
- Certification date
- Aug 31, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 13403 | CA | Yes |
Practice location
119 36th Ave NeSaint Petersburg, FL 33704-1433
Phone 478-972-6911
Mailing address
119 36th Ave NeSaint Petersburg, FL 33704-1433
Phone 478-972-6911
Other practice locations
2820 Camino Del Rio S Ste 308
San Diego, CA 92108-3824
San Diego, CA 92108-3824
Phone 619-546-0039
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- Hillary Jessica Chisholm, M.S.NPI 1275806150
All 62 Speech-Language Pathologist providers in Saint Petersburg · All 2,332 providers in Saint Petersburg
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