Provider Demographics
NPI:1114053758
Name:TANEY, MADELEINE F (MA, MED, LMHC)
Entity Type:Individual
Prefix:MS
First Name:MADELEINE
Middle Name:F
Last Name:TANEY
Suffix:
Gender:F
Credentials:MA, MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 S 309TH PL
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4736
Mailing Address - Country:US
Mailing Address - Phone:206-304-1954
Mailing Address - Fax:
Practice Address - Street 1:824 S 309TH PL
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4736
Practice Address - Country:US
Practice Address - Phone:206-304-1954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010651101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health