Individual
DR. GARY DAVID NEWQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5923 KANAN RD, AGOURA HILLS, CA 91301-1688
(805) 603-3282
Mailing address
PO BOX 803, NEWBURY PARK, CA 91319-0803
(805) 603-3282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10987
CA
106H00000X
Marriage & Family Therapist
MFC17973
CA
Other
Enumeration date
05/04/2007
Last updated
11/04/2015
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