Provider Demographics
NPI:1912880998
Name:GOLDSMITH, MADELEINE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LANEY
Other - Middle Name:
Other - Last Name:GOLDSMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:23420 SE BLACK NUGGET RD UNIT A204
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-6946
Mailing Address - Country:US
Mailing Address - Phone:425-522-2613
Mailing Address - Fax:
Practice Address - Street 1:23420 SE BLACK NUGGET RD UNIT A204
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-6946
Practice Address - Country:US
Practice Address - Phone:425-522-2613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL61570822235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist