Individual
DR. RICHARD BLAIR MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
1340
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07013402
—
CO
Enumeration date
03/13/2007
Last updated
11/05/2007
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