Individual
DR. DAVID F DEVIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
945 11TH ST, STE B, LONGVIEW, WA 98632
(360) 414-8600
(360) 636-7372
Mailing address
945 11TH ST, STE B, LONGVIEW, WA 98632
(360) 414-8600
(360) 636-7372
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
#301
OR
103TC0700X
Clinical Psychologist
Primary
PY 00000A36
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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