Madonna Celeste Carr
Individual provider Active NPI Speech-Language Pathologist · Burlington, WI
NPI 1609216035 · NPPES record last updated Jun 29, 2013
Key facts
- NPI
- 1609216035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3807-154 (WI)
- Practice address
- 372 W Chestnut St
Burlington, WI 53105-1147 - Phone
- (773) 960-5529
- NPI assigned
- Jun 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3807-154 | WI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3807-154 | WI | Yes |
Addresses
Primary practice location
372 W Chestnut St
Burlington, WI 53105-1147
Mailing address
372 W Chestnut St
Burlington, WI 53105-1147
Phone (773) 960-5529
Other providers in Burlington, WI
- Burlington Schneider Family Dentistry LLC
- Melinee D Burnett
- Ernesto C Cababa
- Cardinal Care Services LLC
- Philip S Carney Jr.
- Page C Carriveau
- Lynn M Casperson
- Timothy George Caufield
- Aaditya G Chandramouli
- Darren Robert Chesner
All providers in Burlington, WI · Speech-Language Pathologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.