Dr Supatra Hanna Tovar, PSYD, RD is a
Psychologist - Clinical based in Pasadena, California. Dr Supatra Hanna Tovar is licensed to practice in California (license number PSY31949) and her current practice location is
1000 E Walnut St Ste 246, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 674-2639.
NPI number for Dr Supatra Hanna Tovar is 1861869489 and her current mailing address is 4000 Via Marisol Apt 303, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861869489.
Healthcare Provider's Profile
| Full Name | Dr Supatra Hanna Tovar |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1000 E Walnut St Ste 246, Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861869489
- Provider Enumeration Date: 08/31/2015
- Last Update Date: 08/05/2020
Medical Identifiers
Medical identifiers for Dr Supatra Hanna Tovar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861869489 | NPI | - | NPPES |
| 86029010 | Other | CA | CDR RD CREDENTIAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 86029010 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY31949 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Supatra Hanna Tovar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Supatra Hanna Tovar, PSYD, RD
4000 Via Marisol Apt 303,
Los Angeles, CA 90042-5153
Ph: (818) 636-5343 | Dr Supatra Hanna Tovar, PSYD, RD
1000 E Walnut St Ste 246,
Pasadena, CA 91106-5370
Ph: (626) 674-2639 |
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