Healthcare Provider Details

I. General information

NPI: 1356076897
Provider Name (Legal Business Name): MADELINE SAI WARD SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7776 S POINTE PKWY W STE 250
PHOENIX AZ
85044-5428
US

IV. Provider business mailing address

7776 S POINTE PKWY W STE 250
PHOENIX AZ
85044-5428
US

V. Phone/Fax

Practice location:
  • Phone: 480-518-7073
  • Fax: 480-564-5775
Mailing address:
  • Phone: 480-518-7073
  • Fax: 480-564-5775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA16630
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: