Doctor Name: | MRS. KARYN MADDEN |
NPI Number: | 1043653223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S.HUMAN DEVELOPMEN |
License Number: | |
Business Practice Address: | 31 Lake St Gardner, MA - 014403879 |
Business Phone Number: | 9786324432 |
Business Fax Number: | 9786326022 |
Mailing Address: | 31 Lake St, GARDNER |
State: | MA |
Postal Code: | 014403879 |
Phone Number: | 9786324432 |
Fax Number: | 9786326022 |
NPI Enumeration Date: | 04/08/2013 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |