Provider Demographics
NPI:1497090021
Name:NEGRON, MADELINE (BS)
Entity Type:Individual
Prefix:MS
First Name:MADELINE
Middle Name:
Last Name:NEGRON
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 WINDEMERE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2229
Mailing Address - Country:US
Mailing Address - Phone:413-218-3930
Mailing Address - Fax:
Practice Address - Street 1:66 WINDEMERE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2229
Practice Address - Country:US
Practice Address - Phone:413-218-3930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker