Individual
MS. CAROLYN C. MADACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2045 WESTGATE DR, STE. 300, BETHLEHEM, PA 18017-7480
(610) 332-1705
(610) 332-1707
Mailing address
2045 WESTGATE DR, STE. 300, BETHLEHEM, PA 18017-7480
(610) 332-1705
(610) 332-1707
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS007613-L
PA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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