Provider Demographics
NPI:1528032364
Name:TRUCHSES, RICHARD E (PHD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:TRUCHSES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32504 HIGHWAY 92
Mailing Address - Street 2:
Mailing Address - City:HOTCHKISS
Mailing Address - State:CO
Mailing Address - Zip Code:81419-7127
Mailing Address - Country:US
Mailing Address - Phone:970-596-5939
Mailing Address - Fax:970-596-5939
Practice Address - Street 1:32504 HIGHWAY 92
Practice Address - Street 2:
Practice Address - City:HOTCHKISS
Practice Address - State:CO
Practice Address - Zip Code:81419-7127
Practice Address - Country:US
Practice Address - Phone:970-596-5939
Practice Address - Fax:970-872-4474
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2013-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO527103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07105927Medicaid
COC90936Medicare ID - Type Unspecified