Provider Demographics
NPI:1952031882
Name:FREE, MADELINE (PHD, MSE, MS)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:FREE
Suffix:
Gender:F
Credentials:PHD, MSE, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 W MOUNT PLEASANT AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2930
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:66 W MOUNT PLEASANT AVE STE 206
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-2930
Practice Address - Country:US
Practice Address - Phone:973-251-2228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist