Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madelyn Jayne Marie Dorenkamp, SLP-CCC

Individual provider Speech-Language Pathologist · NPI 1104506161

Madelyn Jayne Marie Dorenkamp, SLP-CCC is a Speech-Language Pathologist in Coeur D Alene, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

411 W Haycraft Ave Ste D1
Coeur D Alene, ID 83815-8104
Phone: (208) 664-2468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-5886 (ID)

Record details

NPI number1104506161
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP-CCC
Sole proprietorYes
NPI enumeratedJuly 24, 2023
Last updated in NPPESJuly 24, 2023
Certification dateJuly 23, 2023

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