Provider Demographics
NPI:1386841369
Name:TADDAY, CINDY V (M S)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:V
Last Name:TADDAY
Suffix:
Gender:F
Credentials:M S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 1ST AVE EN
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3972
Mailing Address - Country:US
Mailing Address - Phone:509-540-8385
Mailing Address - Fax:
Practice Address - Street 1:395 1ST AVE EN
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3972
Practice Address - Country:US
Practice Address - Phone:509-540-8385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT735101Y00000X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000747320OtherBLUE CROSS-SHIELD OF MONTANA CENTER FOR MENTAL HEALTH