Healthcare Provider Details

I. General information

NPI: 1831031046
Provider Name (Legal Business Name): MADISON YANKOVITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 WARRENSVILLE CENTER RD STE 106
SHAKER HTS OH
44122-5226
US

IV. Provider business mailing address

13431 GARY DR
STRONGSVILLE OH
44136-1870
US

V. Phone/Fax

Practice location:
  • Phone: 216-282-1582
  • Fax:
Mailing address:
  • Phone: 440-554-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.16798
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: