Provider Demographics
NPI:1689720211
Name:MADDEN, ZELDA K (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ZELDA
Middle Name:K
Last Name:MADDEN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-3023
Mailing Address - Country:US
Mailing Address - Phone:508-849-5600
Mailing Address - Fax:508-849-5618
Practice Address - Street 1:81 PLANTATION ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-3023
Practice Address - Country:US
Practice Address - Phone:508-849-5600
Practice Address - Fax:508-849-5618
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000007922101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health