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

Mrs. Madison Mauffray Perniciaro, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1639052434

Mrs. Madison Mauffray Perniciaro, MSCCCSLP is a Speech-Language Pathologist in Long Beach, Mississippi. Licensed in Mississippi. Registered with an NPI since 2025.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

730 E Beach Blvd
Long Beach, MS 39560-6259
Phone: (228) 214-3311
Fax: (228) 214-3262
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 S-4952 (MS)

Record details

NPI number1639052434
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorNo
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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