| Maria A Rodriguez, Ph.d. | |
|
417 W 13th St Pueblo CO 81003-2703 | |
| (719) 544-0877 | |
| (719) 544-2033 |
| Full Name | Maria A Rodriguez, Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 417 W 13th St, Pueblo, Colorado |
| Authorized Official Name and Position | Maria A Rodriguez (OWNER) |
| Authorized Official Contact | 7195440877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria A Rodriguez, Ph.d. 417 W 13th St Pueblo CO 81003-2703 Ph: (719) 544-0877 | Maria A Rodriguez, Ph.d. 417 W 13th St Pueblo CO 81003-2703 Ph: (719) 544-0877 |
| NPI Number | 1144247859 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144247859 | NPI | - | NPPES |
| 69381810 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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