Provider Demographics
NPI:1295528073
Name:HAYWOOD, MADISON SNYDER (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:SNYDER
Last Name:HAYWOOD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1267 WOODRUFF PL
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2720
Mailing Address - Country:US
Mailing Address - Phone:304-777-9964
Mailing Address - Fax:
Practice Address - Street 1:1267 WOODRUFF PL
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2720
Practice Address - Country:US
Practice Address - Phone:304-777-9964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP-2640235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist