NPI 1164035630

Madeline Pennebaker

Practitioner Speech-Language Pathologist Somerville, MA

Practice location

Address: 16 Buckingham St APT 2, Somerville, MA 02143-4313
Phone: (617) 475-0462

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 77697 (MA)

Other Speech-Language Pathologist providers in Massachusetts →

Registry record

NPI: 1164035630
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2020
Record last updated: 25 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.