Provider Demographics
NPI:1902458870
Name:SAKAAN, MADISON RICKS (AUD)
Entity Type:Individual
Prefix:DR
First Name:MADISON
Middle Name:RICKS
Last Name:SAKAAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:E
Other - Last Name:RICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7574 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2307
Mailing Address - Country:US
Mailing Address - Phone:520-742-2845
Mailing Address - Fax:520-742-3881
Practice Address - Street 1:7574 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2307
Practice Address - Country:US
Practice Address - Phone:520-742-2845
Practice Address - Fax:520-742-3881
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1948231H00000X
AZDA13724231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist