Richard Blair Madsen in Pueblo - Clinical
Richard Blair Madsen - NPI 1154454809
Richard Blair Madsen is a Clinical in Pueblo, Colorado. Richard Blair Madsen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Blair Madsen is 1154454809. The last update date is 2007-11-05.
Richard Blair Madsen's current location address is 417 W 13th St, Pueblo, Colorado. You can contact this provider via phone number 7195440877 and fax number 7195442033. The mailing address for Richard Blair Madsen is 417 W 13th St, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Blair Madsen |
|---|---|
| Address | 417 W 13th St, Pueblo, Colorado |
| Phone Number | 7195440877 |
| Fax Number | 7195442033 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1154454809 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 417 W 13th St |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810032703 |
| Phone Number | 7195440877 |
| Fax Number | 7195442033 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1340 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7013402 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Richard Blair Madsen by the Centers for Medicare & Medicaid Services?
The Richard Blair Madsen has been assigned the NPI (National Provider Identifier) 1154454809. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Richard Blair Madsen's facilities are geographically located?
The facilities of Richard Blair Madsen are physically situated at the following location: 417 W 13Th St, Pueblo, CO, 810032703.
What is Richard Blair Madsen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard Blair Madsen is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154454809 to Richard Blair Madsen?
The Richard Blair Madsen received its 1154454809 assignment from the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date was the information regarding Richard Blair Madsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard Blair Madsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-05.
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