| Dr Purna Chandra Datta, PHD | |
|
7510 Shoreline Dr, Suite A-6, Stockton, CA 95219-5495 | |
| (209) 406-6817 | |
| (209) 477-2935 |
| Full Name | Dr Purna Chandra Datta |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 7510 Shoreline Dr, Stockton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275646036 | NPI | - | NPPES |
| PSY10808 | Other | CA | BOARD OF PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY10808 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Purna Chandra Datta, PHD 7510 Shoreline Dr, Suite A-6, Stockton, CA 95219-5495 Ph: (209) 406-6817 | Dr Purna Chandra Datta, PHD 7510 Shoreline Dr, Suite A-6, Stockton, CA 95219-5495 Ph: (209) 406-6817 |
Nicole Takla, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-4398 | |
Dr. Kangho Ang, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-8546 | |
Susan Demotte, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1164 W Benjamin Holt Dr, Stockton, CA 95207 Phone: 209-403-4403 | |
Dr. Robert Phil Park, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1305 Tommydon St, Stockton, CA 95210 Phone: 209-476-5211 | |
Dr. Jodie N Perez, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 925-381-7887 | |
Dr. Steven Cartwright, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7707 S. Austin Road, Department Of State Hospitals-stockton, Stockton, CA 95215 Phone: 916-654-2351 | |
Dr. Melissa Lynn Keane, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-5129 |