Mr. Harvey Theodis Madden
Addiction Psychologist (Substance Use Disorder)
3737 Lawton St
Detroit
, Michigan 48208-2500
Mr. Harvey Theodis Madden
Addiction Psychologist (Substance Use Disorder)
3737 Lawton St
Detroit
, Michigan 48208-2500
(313) 917-1283
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Harvey Theodis Madden
- 9549 Memorial St
- Detroit, MI
- Zip : 48227-1011
- Phone : (313) 917-1283
Second Address
- Mr. Harvey Theodis Madden
- 3737 Lawton St
- Detroit, MI
- Zip : 48208-2500
- Fax : (313) 361-6211
- Phone : (313) 361-6136
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 6801087865 | MI |
National Provider Identifier
| NPI | 1255541926 |
|---|---|
| Provider Name | Mr. Harvey Theodis Madden |
| First Address | Detroit, MI 48227-1011 |
| Second Address | Detroit, MI 48208-2500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 28/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.