Provider Demographics
NPI:1952607996
Name:MAIDEN, NATALIE L (LCPC)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:L
Last Name:MAIDEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 MUSGROVE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-5220
Mailing Address - Country:US
Mailing Address - Phone:301-943-9723
Mailing Address - Fax:
Practice Address - Street 1:2301 MUSGROVE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-5220
Practice Address - Country:US
Practice Address - Phone:301-943-9723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3820101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional