Individual
DR. CHARLES H MADSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1254 OCALA RD, TALLAHASSEE, FL 32304-1548
(850) 575-8954
Mailing address
1254 OCALA RD, TALLAHASSEE, FL 32304-1548
(850) 575-8954
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY1989
GA
103TC0700X
Clinical Psychologist
Primary
PY2886
FL
Other
Enumeration date
11/30/2007
Last updated
08/20/2012
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