Provider Demographics
NPI:1922017573
Name:MADINGER, BRIAN CURTIS (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:CURTIS
Last Name:MADINGER
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1774
Mailing Address - Country:US
Mailing Address - Phone:317-580-4099
Mailing Address - Fax:317-245-2456
Practice Address - Street 1:30 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1774
Practice Address - Country:US
Practice Address - Phone:317-580-4099
Practice Address - Fax:317-245-2456
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO646106H00000X
IN35001484A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist