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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PURNA CHANDRA DATTA, PH.D.

Active Sole Proprietor

DR. PURNA CHANDRA DATTA, PH.D. is a Clinical Psychologist healthcare provider located in STOCKTON, California. NPI 1275646036 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · STOCKTON, CA

Registration Details

NPI Number
1275646036
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2006 (19.811920120587 yrs)
Last Updated
Apr 12, 2012
License
PSY10808 (CA)
Sole Proprietor
Yes

Practice Information

Address
7510 SHORELINE DR
SUITE A-6
STOCKTON, CA, 952195495
Browse CA providers · Browse ZIP 95219
Phone
2094066817
Fax
2094772935
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in STOCKTON, CA

Name Credential NPI
DR. JOHN A CHELLSEN PH.D. 1669403580
GARY N HOWELLS PH.D. 1780603217
TIMOTHY R MILLER PH.D. 1528160041
DR. JOSE BOSE PSYD 1902990039
GEORGIA BETH BLAND PH.D. 1730248543
DR. ADAM DAVID POLLACK PSY.D. 1689735854
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.