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Organization
LA TANYA TAKLA, PSYCHOLOGIST INC
Active
Organization
LA TANYA TAKLA, PSYCHOLOGIST INC
Active
Other names
Mending Feelings, Mending Feelings Psychotherapy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LA TANYA ALICIA TAKLA EDD (OWNER/LICENSE CLINICAL PSYCHOLOGIST)
(916) 642-9522
Entity
Organization
Contact information
Practice address
1343 MAGNOLIA AVE, MODESTO, CA 95350-5249
(916) 642-9522
(916) 234-5056
Mailing address
1343 MAGNOLIA AVE, MODESTO, CA 95350-5249
(916) 642-9522
(916) 234-5056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224781
—
CA
05
—
CA460451
—
CA
Enumeration date
09/19/2021
Last updated
06/16/2026
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