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NPI Code Detail

MEDICARE: JEFFREY MCFADDEN

MEDICARE: JEFFREY MCFADDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1710021555
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY MCFADDEN
Provider Business Mailing Address
First Line : 117 HARLOW ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 N BRADDOCK AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15208-2512
Country : US
Telephone Number : 888-796-8226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 05/10/2012

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