Doctor Name: | SHIRLEY MCFADDEN |
NPI Number: | 1154786341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 1942 |
Business Practice Address: | 18821 Spring St Adams, NY - 136053209 |
Business Phone Number: | 3157675615 |
Business Fax Number: | |
Mailing Address: | 18821 Spring St, ADAMS |
State: | NY |
Postal Code: | 136053209 |
Phone Number: | 3157675615 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2015 |
NPI Last Update Date: | 12/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |