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WIILAM J MADDOCK CACIII NPI 1457677957


NPI Information

NPI: 1457677957
Provider Name: WIILAM J MADDOCK, CACIII
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
990 BANNOCK ST
MC 7782
DENVER, CO
ZIP 80204
Phone: (720) 956-2394
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Wiilam J Maddock, CACIII is an addiction (substance use disorder) psychologist in Denver, CO. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. Wiilam J Maddock, CACIII NPI is 1457677957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

990 BANNOCK ST
MC 7782
DENVER, CO
ZIP 80204-028
Phone: (720) 956-2394
Fax: (720) 956-2533

The enumeration date for this NPI number is 4/9/2010 and was last updated on 4/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)ACC-634COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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