Provider Demographics
NPI:1356406664
Name:MCSPADDEN, DINA F
Entity type:Individual
Prefix:MRS
First Name:DINA
Middle Name:F
Last Name:MCSPADDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:E
Other - Last Name:FREUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5910 CLARK RD
Mailing Address - Street 2:SUITE W
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969
Mailing Address - Country:US
Mailing Address - Phone:530-877-4264
Mailing Address - Fax:530-872-6364
Practice Address - Street 1:5910 CLARK RD
Practice Address - Street 2:SUITE W
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969
Practice Address - Country:US
Practice Address - Phone:530-877-4264
Practice Address - Fax:530-872-5970
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health