Dr. PURNA CHANDRA DATTA -- Ph.D.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1275646036- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Ph.D.
- Status
- Active
Contact & Location
- Address
- 7510 SHORELINE DR SUITE A-6, STOCKTON, CA, 952195495
- Phone
- (209) 406-6817
- Fax
- (209) 477-2935
Specialties & Taxonomies
Psychologist, Clinical
Primary License: CA #PSY10808