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Individual

DR. DAVID LINN ARCHAMBAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
PELICAN BAY STATE PRISON 5905 LAKE EARL DR, CRESCENT CITY, CA 95532-0001
(707) 465-1000
Mailing address
2024 NW SARUM CIR, GRANTS PASS, OR 97526-6347
(707) 465-1000

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY14421
CA

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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