Provider Demographics
NPI:1538941653
Name:MADOFF, DONNA MARIE (ATR, MHC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:MADOFF
Suffix:
Gender:F
Credentials:ATR, MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 MAIN ST FL 1
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-1757
Mailing Address - Country:US
Mailing Address - Phone:781-910-5880
Mailing Address - Fax:
Practice Address - Street 1:1429 MAIN ST FL 1
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-1757
Practice Address - Country:US
Practice Address - Phone:781-910-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health