DR. Richard Blair Madsen, PH.D.

NPI #1154454809 in Pueblo, Colorado

Provider Information

NPI Number: 1154454809
Entity Type: Individual
Name: DR. Richard Blair Madsen, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Mar 13, 2007
Last Updated: Nov 5, 2007

Practice Location

Address: 417 W 13TH ST
City: Pueblo
State: Colorado
ZIP Code: 81003-2703
Phone: (719) 544-0877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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