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Individual

DANIEL EDWARD LONNQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1970 ROANOKE BLVD, DVA MEDICAL CENTER, SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1080
Mailing address
10430 IVY RIDGE RD, BENT MOUNTAIN, VA 24059-2132
(540) 929-4372

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001375
VA

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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