Maddison T. Destefano

Speech-Language Pathologist · Rome, GA

Individual Active NPI

NPI number 1104643626

Practice location

212 W 3rd St SW
Rome, GA 30165-2802
Phone
(706) 295-4242
Fax
(706) 295-4260

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NPI record

NPI
1104643626
Entity type
Individual (Type 1)
Enumeration date
September 25, 2024
Last updated
September 25, 2024
Certified
September 25, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

1114 S Wall St
Calhoun, GA 30701-3062
Phone
(706) 512-3307
Fax
(706) 624-3001

About Maddison Destefano

Maddison T. Destefano is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 212 W 3rd St SW, Rome, GA 30165-2802. The NPI number 1104643626 was assigned on September 25, 2024 and the record was last updated on September 25, 2024.

Frequently asked questions

What is the NPI number of Maddison T. Destefano?

The NPI number is 1104643626.

What is the phone number of Maddison Destefano?

The phone number listed for the practice location is (706) 295-4242.

Where is Maddison Destefano located?

212 W 3rd St SW, Rome, GA 30165-2802.

What is the taxonomy code for Maddison Destefano?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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