Provider Demographics
NPI:1851942643
Name:FRANGENBERG, MADELINE M (AUD)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:M
Last Name:FRANGENBERG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:M
Other - Last Name:MAHARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:9097 E DESERT COVE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6280
Mailing Address - Country:US
Mailing Address - Phone:480-273-8510
Mailing Address - Fax:
Practice Address - Street 1:225 S DOBSON RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6274
Practice Address - Country:US
Practice Address - Phone:480-558-5306
Practice Address - Fax:480-558-5307
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZDA12045OtherAZ DEPARTMENT OF HEALTH SERVICES