Provider Demographics
NPI:1326655010
Name:TORMOEN, MADELINE (PSYD, LPC)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:
Last Name:TORMOEN
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2546 INDIAN HILLS GRV
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-5977
Mailing Address - Country:US
Mailing Address - Phone:719-963-1737
Mailing Address - Fax:
Practice Address - Street 1:2546 INDIAN HILLS GRV
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5977
Practice Address - Country:US
Practice Address - Phone:719-963-1737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2729101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional