Doctor Name: | MS. SUSAN JOYCE MADONIA |
NPI Number: | 1033194881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SA7246 |
Business Practice Address: | 2201 Ne 3rd Ave Boca Raton, FL - 334318007 |
Business Phone Number: | 5618669747 |
Business Fax Number: | 3613624067 |
Mailing Address: | 2201 Ne 3rd Ave, BOCA RATON |
State: | FL |
Postal Code: | 334318007 |
Phone Number: | 5618669747 |
Fax Number: | 5613624067 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |