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MRS. MADELEINE PETHAN M.A., CCC-SLP
NPI 1053667089
Speech-Language Pathologist in Charlotte, NC

Active since July 27, 2012
6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3000 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2017, Jan 25, 2017, Dec 22, 2016 and 3 more (6 updates tracked since 2016).

About Mrs. Madeleine Pethan M.a., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MADELEINE PETHAN M.A., CCC-SLP (NPI 1053667089) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (12104) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1053667089
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. MADELEINE PETHANCredential: M.A., CCC-SLP
Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256
Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000
Phone(704) 295-3000
Sole ProprietorNo
Enumeration DateJuly 27, 2012
Last NPPES UpdateJune 15, 20176 updates tracked since enumeration
✔ NPI 1053667089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in NC · 12104✔ Licensed in GA · PCET001789
Definition
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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
6035 FAIRVIEW RD, Charlotte, NC 28210
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Other Names 1

Former Name (1)Mrs. Madeleine Haugh M.a., Ccc-slp

Other Identifiers 6

Medicare PINQ54243ANC
Other19KQ3NC · Bcbsnc
Medicaid1053667089NC
Other1260932SC · Wellcare
MedicaidSAN138SC
Other4808956Aetna

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUKAS DAVID DUMBERGER MD
Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 838-8493
DYLAN DANIEL TOBIAS SLP
Speech-Language Pathologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
DR. NORMAN RONNIE MELTON OD
Optometrist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
DR. JEWEL D GREYWOODE M.D.
Otolaryngology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
BRIANNA L MURPHY AUD
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
ERNEST M. BHEND M.D.
Ophthalmology
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
CARI L OLSEN AUDIOLOGIST
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 295-3000
DR. KRISTIN DOLL BRAY AUD
Audiologist
6035 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (042) 953-0007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeleine Pethan's NPI number?

The NPI number for Madeleine Pethan is 1053667089. It was assigned to this individual provider in the NPPES registry on July 27, 2012. The provider is also known as Mrs. Madeleine Haugh M.A., Ccc-Slp.

Where is Madeleine Pethan located?

Madeleine Pethan practices at 6035 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 295-3000.

What is Madeleine Pethan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Madeleine Pethan was last updated on June 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.