Provider Demographics
NPI:1700030095
Name:MCALLEN, MADALENA MARIA (MA)
Entity Type:Individual
Prefix:
First Name:MADALENA
Middle Name:MARIA
Last Name:MCALLEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MADALENA
Other - Middle Name:MARIA
Other - Last Name:WALSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:49 FRONT ST N
Mailing Address - Street 2:LANGUAGE AND LEARNING ARTS
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3237
Mailing Address - Country:US
Mailing Address - Phone:425-427-1075
Mailing Address - Fax:
Practice Address - Street 1:49 FRONT ST N
Practice Address - Street 2:LANGUAGE AND LEARNING ARTS
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3237
Practice Address - Country:US
Practice Address - Phone:425-427-1075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNSP0000003138235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist