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NPI Code Detail

MEDICARE: MADISON AMANDA FREEMAN M.S., CCC-SLP

MEDICARE: MADISON AMANDA FREEMAN M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist30000474NC

General Provider Information

NPI Number : 1265182554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON AMANDA FREEMAN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2814 GRAY FOX RD
Second Line :
City : MONROE
State : NC
Zip : 28110-8422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2814 GRAY FOX RD
Second Line :
City : MONROE
State : NC
Zip : 28110-8422
Country : US
Telephone Number : 704-288-2070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2022
Last Update Date : 12/08/2025

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Directions to “ MADISON AMANDA FREEMAN M.S., CCC-SLP” Practice Location

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