Provider Demographics
NPI:1043047848
Name:RUBIO, MADELINE (CF-SLP)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:RUBIO
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 MEADOWGREEN DR.
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069
Mailing Address - Country:US
Mailing Address - Phone:615-594-7325
Mailing Address - Fax:
Practice Address - Street 1:5203 MARYLAND WAY
Practice Address - Street 2:SUITE 104
Practice Address - City:BRENTWOOD, TN
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-560-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist