Provider Demographics
NPI:1972528693
Name:MCFADDEN, DAVID PAUL SR (LCPC LMFT)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:MCFADDEN
Suffix:SR
Gender:M
Credentials:LCPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1962 GOLF VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-1541
Mailing Address - Country:US
Mailing Address - Phone:630-333-3202
Mailing Address - Fax:315-217-2428
Practice Address - Street 1:1962 GOLF VIEW DR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-1541
Practice Address - Country:US
Practice Address - Phone:630-333-3202
Practice Address - Fax:315-217-2428
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180004160101YP2500X
IL166000559106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
702480Medicare ID - Type Unspecified