Provider Demographics
NPI:1871118950
Name:METCALF, MADILYN LITTLEFIELD (MS SLP-CF)
Entity type:Individual
Prefix:MRS
First Name:MADILYN
Middle Name:LITTLEFIELD
Last Name:METCALF
Suffix:
Gender:F
Credentials:MS SLP-CF
Other - Prefix:MS
Other - First Name:MADILYN
Other - Middle Name:ELIZABETH
Other - Last Name:LITTLEFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1438 N COG HILL DR APT 206
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-6463
Mailing Address - Country:US
Mailing Address - Phone:479-936-6184
Mailing Address - Fax:
Practice Address - Street 1:2758 E MILLENNIUM PL
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4798
Practice Address - Country:US
Practice Address - Phone:479-283-4637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPENDING235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist