Wiilam J Maddock
Addiction Psychologist (Substance Use Disorder)
990 Bannock St Mc 7782
Denver
, Colorado 80204-4028
Wiilam J Maddock
Addiction Psychologist (Substance Use Disorder)
990 Bannock St Mc 7782
Denver
, Colorado 80204-4028
(303) 436-3500
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Wiilam J Maddock
- 990 Bannock St Mc 7782
- Denver, CO
- Zip : 80204-4028
- Fax : (303) 436-3500
- Phone : (303) 436-3563
Second Address
- Wiilam J Maddock
- 990 Bannock St Mc 7782
- Denver, CO
- Zip : 80204-4028
- Fax : (720) 956-2533
- Phone : (720) 956-2394
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ACC-634 | CO |
National Provider Identifier
| NPI | 1457677957 |
|---|---|
| Provider Name | Wiilam J Maddock |
| First Address | Denver, CO 80204-4028 |
| Second Address | Denver, CO 80204-4028 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2010 |
| Last Update Date | 09/04/2010 |
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.