Healthcare Provider Details

I. General information

NPI: 1952205643
Provider Name (Legal Business Name): EXCEL SPEECH AND LANGUAGE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 S STATE ST
WARREN PA
16365-1214
US

IV. Provider business mailing address

454 CONEWANGO AVE
WARREN PA
16365-1678
US

V. Phone/Fax

Practice location:
  • Phone: 814-723-2872
  • Fax: 814-723-2875
Mailing address:
  • Phone: 814-706-2902
  • Fax: 814-723-2875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERICA CHRISTINE MADIGAN
Title or Position: OWNER
Credential: MS, CCC-SLP
Phone: 814-723-2872