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NPI Code Detail

MEDICARE: ROBERT K MADSEN PH.D.

MEDICARE:   ROBERT K MADSEN  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist01236DC

General Provider Information

NPI Number : 1184680951
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT K MADSEN PH.D.
Provider Business Mailing Address
First Line : 5028 WISCONSIN AVE NW
Second Line : SUITE 303
City : WASHINGTON
State : DC
Zip : 20016-4118
Country : US
Telephone Number : 202-686-2202
Fax Number : 202-686-2208
Provider Business Practice Location Address
First Line : 5028 WISCONSIN AVE NW
Second Line : SUITE 303
City : WASHINGTON
State : DC
Zip : 20016-4118
Country : US
Telephone Number : 202-686-2202
Fax Number : 202-686-2208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 07/09/2007

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Directions to “ ROBERT K MADSEN PH.D.” Practice Location

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