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MADELINE JEAN PETTRY MS, CCC-SLP
NPI 1629875174
Speech-Language Pathologist in Charleston, WV

Active since March 03, 2025
1015 OAKHURST DR, CHARLESTON, WV 25314(304) 345-8101 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madeline Jean Pettry Ms, Ccc-slp NPPES

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

MADELINE JEAN PETTRY MS, CCC-SLP (NPI 1629875174) is an individual speech-language pathologist provider in Charleston, West Virginia, licensed in West Virginia (1054) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1629875174
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMADELINE JEAN PETTRYCredential: MS, CCC-SLP
Location Address1015 OAKHURST DRCharleston, WV 25314-2049
Mailing Address20 Nancy StSeth, WV 25181-9580 · (304) 553-2734
Phone(304) 345-8101
Sole ProprietorNo
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 2, 2025
✔ NPI 1629875174 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
License✔ Licensed in WV · 1054
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.
1015 OAKHURST DR, Charleston, WV 25314
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

KELLIE JUSTICE BLANCHARD MSPT
Physical Therapist
1015 OAKHURST DR
CHARLESTON, WV 25314
Kanawha County (304) 345-8101
MRS. HEMALINI NAGARAJAN MS,OTRL
Specialist
1015 OAKHURST DR
CHARLESTON, WV 25314
Kanawha County (304) 345-8101
LILLY MANZI MA, CCC-SLP
Speech-Language Pathologist
1015 OAKHURST DR
CHARLESTON, WV 25314
Kanawha County (304) 345-8101
KRISTEN VINTON
Speech-Language Pathologist
1015 OAKHURST DR
CHARLESTON, WV 25314
Kanawha County (304) 345-8101
MRS. EMILY P WOOLWINE M.S., CCC-SLP
Speech-Language Pathologist
1015 OAKHURST DR
CHARLESTON, WV 25314
Kanawha County (304) 345-8101
SHEILA WILLIAMSON DALE MA/CCC-SLP
Speech-Language Pathologist
1015 OAKHURST DR
CHARLESTON, WV 25314
Kanawha County (304) 345-8101
MEGHAN JOELLE WYLIE
Speech-Language Pathologist
1015 OAKHURST DR
CHARLESTON, WV 25314
Kanawha County (304) 345-8101
STEPHANIE PETRY CCC-SLP
Speech-Language Pathologist
1015 OAKHURST DR
CHARLESTON, WV 25314
Kanawha County (304) 345-8101

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 Madeline Pettry's NPI number?

The NPI number for Madeline Pettry is 1629875174. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Madeline Pettry located?

Madeline Pettry practices at 1015 Oakhurst Dr, Charleston, WV 25314. The listed phone number is (304) 345-8101.

What is Madeline Pettry's specialty?

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

What insurance does Madeline Pettry accept?

Health plans from CareSource list Madeline Pettry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madeline Pettry was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.