Provider Demographics
NPI:1700774486
Name:MACWEBB, MADISEN (SLP)
Entity type:Individual
Prefix:
First Name:MADISEN
Middle Name:
Last Name:MACWEBB
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 LAPEER RD STE C
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-3620
Mailing Address - Country:US
Mailing Address - Phone:810-412-4183
Mailing Address - Fax:810-309-8635
Practice Address - Street 1:9100 LAPEER RD STE C
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-3620
Practice Address - Country:US
Practice Address - Phone:810-412-4183
Practice Address - Fax:810-309-8635
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist