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Organization
WELLSPRING PSYCHOLOGY PC
Active
Organization
WELLSPRING PSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSHUA MADDOX PH.D. (CLINICAL PSYCHOLOGIST)
(408) 357-4102
Entity
Organization
Contact information
Practice address
409 ALBERTO WAY STE 5, LOS GATOS, CA 95032-5407
(408) 357-4102
Mailing address
409 ALBERTO WAY STE 5, LOS GATOS, CA 95032-5407
(408) 357-4102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25909
CA
Other
Enumeration date
07/20/2014
Last updated
10/02/2015
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