Nicole Takla, PSYD

NPI #1003196403 in Stockton, California

Provider Information

NPI Number: 1003196403
Entity Type: Individual
Name: Nicole Takla, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Aug 17, 2011
Last Updated: Sep 30, 2014

Practice Location

Address: 7707 AUSTIN RD
City: Stockton
State: California
ZIP Code: 95215-8312
Phone: (209) 467-4398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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