Individual provider · NPI-1

Dr. David Lee Lundquist, Ph.D.

Psychologist, Clinical · Indio, CA

NPI number1679675102
StatusActive
Last updated in NPPESJan 3, 2011

Details

NPI
1679675102
Entity type
Individual (NPI-1)
Name
Dr. David Lee Lundquist
Credential
Ph.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 4, 2006
Last updated
Jan 3, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical10662CAYes

Practice location

47825 Oasis St
Indio, CA 92201-6950

Phone 760-863-8455 · Fax 760-863-8587

Mailing address

47825 Oasis St
Indio, CA 92201-6950

Phone 760-863-8455 · Fax 760-863-8587

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