Madison Scott Chase, SLP
Individual provider Active NPI Speech-Language Pathologist · Tyrone, GA
NPI 1922617455 · NPPES record last updated Jul 30, 2020
Key facts
- NPI
- 1922617455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP01135 (GA)
- Practice address
- 1130 Senoia Rd Ste A1
Tyrone, GA 30290-1640 - Phone
- (678) 632-6765
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| SLP01135 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP01135 | GA | Yes |
Addresses
Primary practice location
1130 Senoia Rd Ste A1
Tyrone, GA 30290-1640
Mailing address
60 11TH St NE Apt 1618
Atlanta, GA 30309-4380
Phone (908) 489-5746
Other providers in Tyrone, GA
- Gloria J Carusi
- Shohna Castellanos
- Charisse L. Caswell
- Center for Family Psychiatry
- Anna Taylor Chapman
- Jemima NA Civil
- Ashley Danielle Clay
- Gabrielle Cobb
- Dawn M Coffman
- Seth Lee Cohen
All providers in Tyrone, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2020. 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.