Provider Demographics
NPI:1023750858
Name:MCADARA, JEANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:
Last Name:MCADARA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5504
Mailing Address - Country:US
Mailing Address - Phone:303-763-0746
Mailing Address - Fax:
Practice Address - Street 1:204 4TH AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5504
Practice Address - Country:US
Practice Address - Phone:303-763-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor