Provider Demographics
NPI:1154763969
Name:SPADARO, MARIA ELIZABETH (MS, LAC, NCC)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:ELIZABETH
Last Name:SPADARO
Suffix:
Gender:F
Credentials:MS, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1835
Mailing Address - Country:US
Mailing Address - Phone:732-895-6478
Mailing Address - Fax:
Practice Address - Street 1:26 SAFRAN AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3510
Practice Address - Country:US
Practice Address - Phone:732-646-4064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00142600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health