Lothar Engelbert Mader in Roseville - Psychologist
Lothar Engelbert Mader - NPI 1063400422
Lothar Engelbert Mader is a Psychologist in Roseville, California. Lothar Engelbert Mader practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lothar Engelbert Mader is 1063400422. The last update date is 2007-11-02.
Lothar Engelbert Mader's current location address is 2130 Professional Dr, Roseville, California. You can contact this provider via phone number 9167822100 and fax number 9166240701. The mailing address for Lothar Engelbert Mader is 2130 Professional Dr, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lothar Engelbert Mader |
|---|---|
| Address | 2130 Professional Dr, Roseville, California |
| Phone Number | 9167822100 |
| Fax Number | 9166240701 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1063400422 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2007-11-02 |
Provider Mailing Address Detail
| Address | 2130 Professional Dr |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 956613738 |
| Phone Number | 9167822100 |
| Fax Number | 9166240701 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY8474 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7366414 | CA | -- |
Post Comment/ Review Below
What is the Lothar Engelbert Mader's unique identification number?
The Lothar Engelbert Mader has been assigned the NPI (National Provider Identifier) Number 1063400422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lothar Engelbert Mader's facilities are geographically located?
The facilities of Lothar Engelbert Mader are physically situated at the following location: 2130 Professional Dr, Roseville, CA, 956613738.
What is the area of specialization for Lothar Engelbert Mader, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lothar Engelbert Mader is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When was the Lothar Engelbert Mader's 1063400422 issued?
The Lothar Engelbert Mader's 1063400422 was issued on 2005-10-10.
As of what date were the Lothar Engelbert Mader's details last updated?
The information pertaining to the Lothar Engelbert Mader, including its address, specialty, and other details, was most recently updated on 2007-11-02.