Individual
MADELINE PENKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
55 WALLS DR STE 204, FAIRFIELD, CT 06824-5163
(203) 255-3669
Mailing address
1421 SHUCKER CIR APT 203, MOUNT PLEASANT, SC 29464-4975
(203) 581-4019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
010012091
DE
235Z00000X
Speech-Language Pathologist
030429
NY
235Z00000X
Speech-Language Pathologist
10259
MD
235Z00000X
Speech-Language Pathologist
Primary
8627
SC
Other
Enumeration date
02/01/2021
Last updated
05/07/2025
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