Provider Demographics
NPI:1700506060
Name:ALBERTINE, MADELINE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:ALBERTINE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 WISCONSIN AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3588
Mailing Address - Country:US
Mailing Address - Phone:301-986-1503
Mailing Address - Fax:
Practice Address - Street 1:5425 WISCONSIN AVE STE 600
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3588
Practice Address - Country:US
Practice Address - Phone:301-986-1503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist