Provider Demographics
NPI:1487340584
Name:CORCORAN, MADELINE (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:MADELINE
Middle Name:
Last Name:CORCORAN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:MS
Other - First Name:MADELINE
Other - Middle Name:
Other - Last Name:ALPAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:1325 PENNSYLVANIA AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2133
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1325 PENNSYLVANIA AVE STE 600
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2133
Practice Address - Country:US
Practice Address - Phone:682-267-8694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-12
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS