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Dr. Supatra Hanna Tovar, PSYD,RD
Clinical Psychologist in Pasadena, California
NPI 1861869489

Supatra Hanna Tovar is a Clinical Psychologist based in Los Angeles, CA and is specialized in Clinical. Supatra Hanna Tovar practices in Pasadena, CA and has the professional credentials of PSYD,RD. The NPI Number for Supatra Hanna Tovar is 1861869489 and holds a License No. 86029010 (California).

The current practice location address for Supatra Hanna Tovar is 1000 E Walnut St Ste 246, Pasadena, CA and can be reached out via phone at 626-674-2639.

Location: 1000 E Walnut St Ste 246, Pasadena, CA, 90042-5153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861869489
Provider Name
Supatra Hanna Tovar
Credential
PSYD,RD
Provider Entity Type
Individual
Gender
Female
Address
1000 E Walnut St Ste 246, Pasadena, CA, 90042-5153
Phone Number
626-674-2639
Fax Number
Provider Enumeration Date
08/31/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86029010 01 CA CDR RD CREDENTIAL
institution
Provider Business Practice Location Address Details
Address
1000 E Walnut St Ste 246
City
Pasadena
State
California
Zip
91106-5370
Phone Number
626-674-2639
Fax Number
person
Provider Business Mailing Address Details
Address
1000 E Walnut St Ste 246
City
Pasadena
State
California
Zip
91106-5370
Phone Number
626-674-2639
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY31949 (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.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
()
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
86029010 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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