| Doctor Name: | MS. MADELINE C. MANTELL |
| NPI Number: | 1043295835 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | PC003983 |
| Business Practice Address: | 606 Springhouse Village Center Spring House, PA - 19477 |
| Business Phone Number: | 2156463969 |
| Business Fax Number: | |
| Mailing Address: | 101 Banbury Ave, NORTH WALES |
| State: | PA |
| Postal Code: | 194541660 |
| Phone Number: | 2155273537 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC003983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |