Individual
SHADEN Y IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5106 ACADEMY DR, MADISON, WI 53716-1404
(608) 204-1460
Mailing address
622 W WILSON ST APT 102, MADISON, WI 53703-4466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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