Nicole Takla, PsyD
Psychologist, Clinical in Stockton, CA. Individual provider (NPI-1).
NPI number1003196403
StatusActive
Last updated in NPPESSep 30, 2014
Details
- NPI
- 1003196403
- Entity type
- Individual (NPI-1)
- Name
- Nicole Takla
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2011
- Last updated
- Sep 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY26532 | CA | Yes |
Practice location
7707 Austin RdStockton, CA 95215-8312
Phone 209-467-4398
Mailing address
5424 Sunol BlvdSuite 10-120
Pleasanton, CA 94566-7705
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