Individual
DR. ANTONIO MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
BOX 519, 19375 HIGHWAY 116, MONTE RIO, CA 95462-0519
(707) 865-1200
(707) 865-3151
Mailing address
PO BOX 519, MONTE RIO, CA 95462-0519
(707) 865-1200
(707) 865-3151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PL3970
CA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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