MEDICARE: JODIE MADISON 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1982537692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODIE MADISON CCC-SLP

Provider Business Mailing Address
First Line	:	2280 S BROADWAY
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54304-4830
Country	:	US
Telephone Number	:	920-448-2870
Fax Number	:

Provider Business Practice Location Address
First Line	:	2280 S BROADWAY
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54304-4830
Country	:	US
Telephone Number	:	920-448-2870
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

Similar Medicare Providers

1821921537 — JANE A YELLS SLP CCC
Practice Location Address:

2280 S BROADWAY
ASHWAUBENON, WI
54304-4830

Practice Phone: 920-448-2870
Practice Fax:

1851842553 — GROW DEEP COUNSELING, LLC
Practice Location Address:

4830 RIVER GREEN PKWY , SUITE 150
DULUTH, GA
30096-2505

Practice Phone: 770-331-9988
Practice Fax: 770-492-0301

1790197630 — SARAH REDIN
Practice Location Address:

4830 KNIGHTSWOOD WAY
GRANITE BAY, CA
95746-6455

Practice Phone: 530-305-9063
Practice Fax:

1649037441 — ASHLEI J WHITNEY
Practice Location Address:

1136 BAY ST
ROCHESTER, NY
14609-4830

Practice Phone: 585-309-3081
Practice Fax:

1205710258 — BREYTON GAGE ROBERSON
Practice Location Address:

1010 8TH ST
BAY CITY, TX
77414-4830

Practice Phone: 979-864-7862
Practice Fax:

1134087513 — DARTAINA BLUE SR.
Practice Location Address:

1136 BAY ST
ROCHESTER, NY
14609-4830

Practice Phone: 585-290-2986
Practice Fax:

Directions to “ JODIE MADISON CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.