Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN BAKOTA, ED.D.
ActivePrescribing Psychologist · BEVERLY HILLS, CA
Registration Details
- NPI Number
- 1861615924
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2007 (19.031395043108 yrs)
- Last Updated
- Apr 24, 2018
- License
-
PSY13135 (CA)
Practice Information
- Address
-
9300 WILSHIRE BLVDBEVERLY HILLS, CA, 902123213Browse CA providers · Browse ZIP 90212
- Phone
- 3104787733
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
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.