Provider Demographics
NPI:1497568497
Name:KOLAKOWSKI, MADISON TAYLOR (MS)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:TAYLOR
Last Name:KOLAKOWSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 JEFFREY CIR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-2781
Mailing Address - Country:US
Mailing Address - Phone:717-856-8964
Mailing Address - Fax:
Practice Address - Street 1:55 MILLER ST
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-1640
Practice Address - Country:US
Practice Address - Phone:717-732-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist