MEDICARE: MADELEINE S MAY MFT

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1831666189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELEINE S MAY MFT

Provider Business Mailing Address
First Line	:	623 S AMERICAN ST REAR D
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-2300
Country	:	US
Telephone Number	:	914-886-2090
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S 17TH ST STE 1106
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6212
Country	:	US
Telephone Number	:	914-886-2090
Fax Number	:

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

Provider Enumeration Date	:	10/25/2018
Last Update Date	:	10/25/2018

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Directions to “ MADELEINE S MAY MFT” Practice Location

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