Provider Demographics
NPI:1588306328
Name:YODER, MADELYN
Entity type:Individual
Prefix:
First Name:MADELYN
Middle Name:
Last Name:YODER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MADELYN
Other - Middle Name:
Other - Last Name:HOFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37990 OLD AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:WOODSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43793-9247
Mailing Address - Country:US
Mailing Address - Phone:740-472-0753
Mailing Address - Fax:740-472-0130
Practice Address - Street 1:37990 OLD AIRPORT RD
Practice Address - Street 2:
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-9247
Practice Address - Country:US
Practice Address - Phone:740-472-0753
Practice Address - Fax:740-472-0130
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2208305104100000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker