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Organization
WELLSPRING PSYCHOLOGY PC
Active
Organization
WELLSPRING PSYCHOLOGY PC
Active
Other names
Wellspring Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOSHUA MADDOX PH.D. (PRESIDENT)
(408) 357-4102
Entity
Organization
Contact information
Practice address
475 ALBERTO WAY STE 180, LOS GATOS, CA 95032-5481
(408) 357-4102
(408) 550-1879
Mailing address
475 ALBERTO WAY STE 180, LOS GATOS, CA 95032-5481
(408) 357-4102
(408) 550-1879
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25909
CA
Other
Enumeration date
12/22/2015
Last updated
10/08/2021
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