| Rory B. Madden, Ed.d., Pc | |
|
7915 N Paradise Canyon Ln Prescott Valley AZ 86315-9098 | |
| (928) 699-4476 | |
| Not Available |
| Full Name | Rory B. Madden, Ed.d., Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7915 N Paradise Canyon Ln, Prescott Valley, Arizona |
| Authorized Official Name and Position | Rory B. Madden (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9286994476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rory B. Madden, Ed.d., Pc 7915 N Paradise Canyon Ln Prescott Valley AZ 86315-9098 Ph: (928) 699-4476 | Rory B. Madden, Ed.d., Pc 7915 N Paradise Canyon Ln Prescott Valley AZ 86315-9098 Ph: (928) 699-4476 |
| NPI Number | 1841527546 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 11/17/2009 |
| Medicare PECOS PAC ID | 8729127600 |
|---|---|
| Medicare Enrollment ID | O20091207000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841527546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1495 (Arizona) | Primary |
| Provider Name | Rory B Madden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245378595 PECOS PAC ID: 9931247335 Enrollment ID: I20091104000669 |
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