Individual
DR. PETER W B MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8220 LONGLEAF DR STE 200, ELK GROVE, CA 95758-1322
(916) 602-9919
Mailing address
PO BOX 11439, OAKLAND, CA 94611-0439
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
29853
CA
Other
Enumeration date
08/14/2007
Last updated
12/05/2023
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