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Individual

DR. HAL A. LINEBARGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D., PSYCHOLOGIST

Contact information

Practice address
2055 ANDERSON RD, DAVIS, CA 95616-1210
(530) 219-8080
Mailing address
PO BOX 1184, DAVIS, CA 95617-1184
(530) 219-8080

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21579
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330255266-29
PACIFICARE BEHAVIORAL HEA
CA
01
335770
MANAGED HEALTH NETWORK
CA
Enumeration date
08/09/2006
Last updated
03/26/2009
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