Provider Demographics
NPI:1043549660
Name:MADIGAN, ERICA CHRISTINE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:CHRISTINE
Last Name:MADIGAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 CONEWANGO AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-1678
Mailing Address - Country:US
Mailing Address - Phone:814-726-3492
Mailing Address - Fax:
Practice Address - Street 1:454 CONEWANGO AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-1678
Practice Address - Country:US
Practice Address - Phone:814-726-3492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008155235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist