Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Madeleine Pethan, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1053667089

Mrs. Madeleine Pethan, MA, CCC-SLP is a Speech-Language Pathologist in Charlotte, North Carolina. Licensed in Georgia and North Carolina. Registered with an NPI since 2012.

Licensed in
GA, NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts 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

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone: (704) 295-3000
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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 12104 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence PCET001789 (GA)

Record details

NPI number1053667089
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 27, 2012
Last updated in NPPESJune 15, 2017

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