Organization
MARIA A RODRIGUEZ, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA A RODRIGUEZ PH.D. (OWNER)
(719) 544-0877
Entity
Organization
Contact information
Practice address
417 W 13TH ST, PUEBLO, CO 81003-2703
(719) 544-0877
(719) 544-2033
Mailing address
417 W 13TH ST, PUEBLO, CO 81003-2703
(719) 544-0877
(719) 544-2033
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69381810
—
CO
Enumeration date
07/17/2006
Last updated
11/01/2007
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