Healthcare Provider Details

I. General information

NPI: 1528032364
Provider Name (Legal Business Name): RICHARD E TRUCHSES PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 03/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32504 HIGHWAY 92
HOTCHKISS CO
81419-7127
US

IV. Provider business mailing address

32504 HIGHWAY 92
HOTCHKISS CO
81419-7127
US

V. Phone/Fax

Practice location:
  • Phone: 970-596-5939
  • Fax: 970-872-4474
Mailing address:
  • Phone: 970-596-5939
  • Fax: 970-596-5939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number527
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: