Madison Lou Peterman, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014366 Issued in PA

Practice address

700 Cayuga Ave
Altoona, PA 16602-4303

Phone

(814) 946-0471

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1396218657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 5TH AVE APT 207",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166351405",
            "telephone_number": "814-762-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CAYUGA AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024303",
            "telephone_number": "814-946-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "MADISON",
        "middle_name": "LOU",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Department of Public Welfare (Altoona Center)
• Harry Penny
• Perfect Smile Dental of Altoona PC
• Perfect Smile Dental PC
• Peter C. Pham, DDS, P.C.
• Ronald Peterman II, PHARMD.
• Bradley Peters, LPC
• Renee L Peters
• Sara Petrilla, LMT
• Darren Petrunak, CRNP

• Speech-Language Pathologist in Altoona, PA
• Providers in Altoona, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.