Organization
CARLOS RODRIGUEZ, PH.D., P.C.
Active
Other names
New Beginnings
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS JOSE RODRIGUEZ PH.D (PSYCHOLOGIST)
(719) 545-5211
Entity
Organization
Contact information
Practice address
1301 W 17TH ST, PUEBLO, CO 81003-1915
(719) 545-5211
(719) 545-1962
Mailing address
PO BOX 3336, PUEBLO, CO 81005-0336
(719) 545-5211
(719) 545-1962
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1004
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07109952
—
CO
Enumeration date
09/09/2013
Last updated
09/09/2013
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