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Individual

CARLTON W. PURVIANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1416 TENNESSEE ST, SUITE 3A, VALLEJO, CA 94590-4647
(707) 552-6397
(707) 647-1305
Mailing address
1416 TENNESSEE ST, SUITE 3A, VALLEJO, CA 94590-4647
(707) 552-6397
(707) 647-1305

Taxonomy

Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY4081
CA

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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