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Dr. Susan Bakota, EDD
Prescribing (Medical) Psychologist in Beverly Hills, California
NPI 1861615924

Susan Bakota is a Prescribing (Medical) Psychologist based in Beverly Hills, CA and is specialized in Prescribing (Medical). Susan Bakota practices in Beverly Hills, CA and has the professional credentials of EDD. The NPI Number for Susan Bakota is 1861615924 and holds a License No. PSY13135 (California).

The current practice location address for Susan Bakota is 9300 Wilshire Blvd, Beverly Hills, CA and can be reached out via phone at 310-478-7733. You can also correspond with Susan Bakota through the mailing address at 9300 WILSHIRE BLVD STE 320, BEVERLY HILLS, CA - 90212-3203 (mailing address contact number: 310-478-7733).

Location: 9300 Wilshire Blvd, Beverly Hills, CA, 90212-3203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861615924
Provider Name
Susan Bakota
Credential
EDD
Provider Entity Type
Individual
Gender
Female
Address
9300 Wilshire Blvd, Beverly Hills, CA, 90212-3203
Phone Number
310-478-7733
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9300 Wilshire Blvd
City
Beverly Hills
State
California
Zip
90212-3213
Phone Number
310-478-7733
Fax Number
person
Provider Business Mailing Address Details
Address
9300 Wilshire Blvd Ste 320
City
Beverly Hills
State
California
Zip
90212-3203
Phone Number
310-478-7733
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
PSY13135 (California)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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