MEDICARE: MADISSON SHARP ED.S.

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
1	103TS0200X	School Psychologist	LSP.00152	OH

General Provider Information

NPI Number	:	1891646493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISSON SHARP ED.S.

Provider Business Mailing Address
First Line	:	7405 DIAMONDBACK AVE NW
Second Line	:
City	:	CANAL FULTON
State	:	OH
Zip	:	44614-8106
Country	:	US
Telephone Number	:	330-945-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 WASHINGTON AVE
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-2042
Country	:	US
Telephone Number	:	330-945-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ MADISSON SHARP ED.S.” Practice Location

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