Provider Demographics
NPI:1588489389
Name:HAMPSTEAD, MADELINE
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:HAMPSTEAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:
Other - Last Name:HAMPSTEAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MADDIE
Mailing Address - Street 1:2245 S FIELD WAY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-2334
Mailing Address - Country:US
Mailing Address - Phone:651-276-9351
Mailing Address - Fax:
Practice Address - Street 1:2245 S FIELD WAY
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-2334
Practice Address - Country:US
Practice Address - Phone:651-276-9351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional