Provider Demographics
NPI:1518401843
Name:QUIRK, MADELINE (MA)
Entity Type:Individual
Prefix:MS
First Name:MADELINE
Middle Name:
Last Name:QUIRK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 W AFTON AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1420
Mailing Address - Country:US
Mailing Address - Phone:877-636-9322
Mailing Address - Fax:267-392-5635
Practice Address - Street 1:70 W AFTON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-1420
Practice Address - Country:US
Practice Address - Phone:877-636-9322
Practice Address - Fax:267-392-5635
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)