Individual provider · NPI-1

Dr. Julie A Madsen, Psy.D.

Psychologist, Clinical · Indio, CA

NPI number1619063104
StatusActive
Last updated in NPPESMay 24, 2014

Details

NPI
1619063104
Entity type
Individual (NPI-1)
Name
Dr. Julie A Madsen
Credential
Psy.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 4, 2006
Last updated
May 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY13979CAYes

Practice location

82704 Sutton Dr
Indio, CA 92203-3171

Phone 760-342-3330 · Fax 888-333-5114

Mailing address

82704 Sutton Dr
Indio, CA 92203-3171

Phone 760-342-3330 · Fax 888-333-5114

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