MEDICARE: MADELINE STODDARD

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
1	101Y00000X	Counselor	LPC.0023791	CO

General Provider Information

NPI Number	:	1760329056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE STODDARD

Provider Business Mailing Address
First Line	:	19750 E PARKER SQUARE DR STE 105
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-7302
Country	:	US
Telephone Number	:	720-340-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	19750 E PARKER SQUARE DR STE 105
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-7302
Country	:	US
Telephone Number	:	720-340-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ MADELINE STODDARD ” Practice Location

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