Individual
JAMES K. MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3528 DODGE ST, OMAHA, NE 68131-3202
(402) 345-7100
Mailing address
3528 DODGE ST, OMAHA, NE 68131-3202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
173
NE
Other
Enumeration date
09/28/2006
Last updated
07/28/2008
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