Healthcare Provider Details

I. General information

NPI: 1215867700
Provider Name (Legal Business Name): SPEECH WITH MADISON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7155 INCA WAY
DENVER CO
80221-3044
US

IV. Provider business mailing address

7155 INCA WAY
DENVER CO
80221-3044
US

V. Phone/Fax

Practice location:
  • Phone: 904-655-3921
  • Fax:
Mailing address:
  • Phone: 904-655-3921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MADISON BROWN
Title or Position: OWNER
Credential: CCC-SLP
Phone: 904-655-3921