Individual provider · Type 1 NPI

Madeline Jean Pettry, MS, CCC-SLP

Speech-Language Pathologist · Charleston, WV

NPI number 1629875174 Active

Practice location

1015 Oakhurst Dr
Charleston, WV 25314-2049

Call (304) 345-8101 Map

Mailing address

20 Nancy St
Seth, WV 25181-9580

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X1054 (WV)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1629875174

Madeline Jean Pettry, MS, CCC-SLP's National Provider Identifier is 1629875174, issued on Mar 3, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Charleston, WV. The record was last updated on Mar 3, 2025.