Individual
RONDA NIEDERHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913-4613
(719) 524-6024
Mailing address
7920 CALLENDALE DR, COLORADO SPRINGS, CO 80908-5028
(719) 205-9517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3109
CO
103TC0700X
Clinical Psychologist
576
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680015705
RR MEDICARE
—
Enumeration date
09/28/2006
Last updated
02/22/2024
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