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Dr. Purna Chandra Datta, PHD
Clinical Psychologist in Stockton, California
NPI 1275646036

Purna Chandra Datta is a Clinical Psychologist based in Stockton, CA and is specialized in Clinical. Purna Chandra Datta practices in Stockton, CA and has the professional credentials of PHD. The NPI Number for Purna Chandra Datta is 1275646036 and holds a License No. PSY10808 (California).

The current practice location address for Purna Chandra Datta is 7510 Shoreline Dr, Stockton, CA and can be reached out via phone at 209-406-6817 and via fax at 209-477-2935. You can also correspond with Purna Chandra Datta through the mailing address at 7510 SHORELINE DR, STOCKTON, CA - 95219-5495 (mailing address contact number: 209-406-6817).

Location: 7510 Shoreline Dr, Stockton, CA, 95219-5495
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275646036
Provider Name
Purna Chandra Datta
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
7510 Shoreline Dr, Stockton, CA, 95219-5495
Phone Number
209-406-6817
Fax Number
209-477-2935
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSY10808 01 CA BOARD OF PSYCHOLOGY
institution
Provider Business Practice Location Address Details
Address
7510 Shoreline Dr
City
Stockton
State
California
Zip
95219-5495
Phone Number
209-406-6817
Fax Number
209-477-2935
person
Provider Business Mailing Address Details
Address
7510 Shoreline Dr
City
Stockton
State
California
Zip
95219-5495
Phone Number
209-406-6817
Fax Number
209-477-2935
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY10808 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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