Doctor Name: | MISS STEPHANIE MARIE MADL |
NPI Number: | 1023148814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LPC |
License Number: | PC000702 |
Business Practice Address: | 203 S Maple Ave Greensburg, PA - 156013216 |
Business Phone Number: | 7248340420 |
Business Fax Number: | 7248538682 |
Mailing Address: | 203 S Maple Ave, GREENSBURG |
State: | PA |
Postal Code: | 156013216 |
Phone Number: | 7248340420 |
Fax Number: | 7248538682 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |