Lothar Engelbert Mader PHD

NPI 1063400422 - Psychologist - 103T00000X

NPI Details
NPI 1063400422
Gender Male
Enumeration Date 10/10/2005
Last Updated 11/02/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2130 PROFESSIONAL DR
SUITE 240
ROSEVILLE CA, 95661-3738, US
Phone (916) 782-2100
Fax (916) 624-0701
Business Location
2130 PROFESSIONAL DR
SUITE 240
ROSEVILLE CA, 95661-3738, US
Phone (916) 782-2100
Fax (916) 624-0701
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY8474
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According to our database, Dr. Lothar Engelbert Mader PHD NPI is 1063400422, taxonomy code is 103T00000X and license number is PSY8474, license state is located at California. Lothar Engelbert Mader PHD physically located at 2130 Professional Dr, Roseville CA, 95661-3738. NPI Number Lothar Engelbert Mader PHD has the Individual type.

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1063400422 NPI number is provided on an as is basis without warranty of any kind. 1063400422 is maintained by the National Plan & Provider Enumeration System. The contents of Lothar Engelbert Mader PHD are for informational purposes only.