Provider Demographics
NPI:1912704032
Name:ERP, MADALYN G
Entity type:Individual
Prefix:
First Name:MADALYN
Middle Name:G
Last Name:ERP
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20299 ENGEN BLVD NW
Mailing Address - Street 2:
Mailing Address - City:NOWTHEN
Mailing Address - State:MN
Mailing Address - Zip Code:55330-8020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9457 HIGHWAY 10 NW
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-7201
Practice Address - Country:US
Practice Address - Phone:612-230-0308
Practice Address - Fax:833-615-4259
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist