Provider Demographics
NPI:1528866464
Name:MADENFORD, ANA (MA LPA)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:MADENFORD
Suffix:
Gender:F
Credentials:MA LPA
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:VILLAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:904 EL HATCO DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:PA
Mailing Address - Zip Code:19560-1116
Mailing Address - Country:US
Mailing Address - Phone:484-273-8126
Mailing Address - Fax:
Practice Address - Street 1:645 PENN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3543
Practice Address - Country:US
Practice Address - Phone:610-373-4281
Practice Address - Fax:610-373-3779
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health