Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madeline Jean Pettry, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1629875174

Madeline Jean Pettry, MS, CCC-SLP is a Speech-Language Pathologist in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2025.

Licensed in
WV
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1015 Oakhurst Dr
Charleston, WV 25314-2049
Phone: (304) 345-8101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1054 (WV)

Record details

NPI number1629875174
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 2, 2025

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