La Tanya Alicia Takla in Modesto - Clinical
La Tanya Alicia Takla - NPI 1366635526
La Tanya Alicia Takla is a Clinical in Modesto, California. La Tanya Alicia Takla practices all healthcare services and medical treatments related to Clinical. The NPI Number for La Tanya Alicia Takla is 1366635526. The last update date is 2021-09-22.
La Tanya Alicia Takla's current location address is 1343 Magnolia Ave, Modesto, California. You can contact this provider via phone number 9168273058 and fax number 9166784138. The mailing address for La Tanya Alicia Takla is 1343 Magnolia Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | La Tanya Alicia Takla |
|---|---|
| Address | 1343 Magnolia Ave, Modesto, California |
| Phone Number | 9168273058 |
| Fax Number | 9166784138 |
| Sole Proprietor | Y |
| Credentials | EDD, LMFT, |
NPI Number Detail
| NPI Number | 1366635526 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2021-09-22 |
Provider Mailing Address Detail
| Address | 1343 Magnolia Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953505249 |
| Phone Number | 9168273058 |
| Fax Number | 9166784138 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 32391 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CA460541 | CA | -- |
Post Comment/ Review Below
What is the La Tanya Alicia Takla's unique identification number?
The La Tanya Alicia Takla has been assigned the NPI (National Provider Identifier) Number 1366635526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where La Tanya Alicia Takla's facilities are geographically located?
The facilities of La Tanya Alicia Takla are physically situated at the following location: 1343 Magnolia Ave, Modesto, CA, 953505249.
What is the area of specialization for La Tanya Alicia Takla, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for La Tanya Alicia Takla is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1366635526 assigned to La Tanya Alicia Takla?
The La Tanya Alicia Takla was issued its 1366635526 on 2007-08-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the La Tanya Alicia Takla's information last updated?
The La Tanya Alicia Takla's information was last updated on 2021-09-22.
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