Provider Demographics
NPI:1184053357
Name:ABRAMS, MADELYN (SLP)
Entity type:Individual
Prefix:
First Name:MADELYN
Middle Name:
Last Name:ABRAMS
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 1:656 N LOGAN ST
Mailing Address - Street 2:APT 9
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3660
Mailing Address - Country:US
Mailing Address - Phone:216-544-4637
Mailing Address - Fax:
Practice Address - Street 1:656 N LOGAN ST
Practice Address - Street 2:APT 9
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3660
Practice Address - Country:US
Practice Address - Phone:216-544-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001951235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist