Individual
DR. ROBERTA M RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44 UNION BLVD STE 104, LAKEWOOD, CO 80228-1808
(303) 284-2262
Mailing address
PO BOX 717, EVERGREEN, CO 80437-0717
(303) 909-9142
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26423
CO
2084P0805X
Geriatric Psychiatry Physician
26423
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01264233
—
CO
Enumeration date
01/07/2006
Last updated
08/19/2021
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