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Individual
DR. SUPATRA HANNA TOVAR
Active
Individual
DR. SUPATRA HANNA TOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, RD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31949
CA
133V00000X
Registered Dietitian
86029010
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86029010
CDR RD CREDENTIAL
CA
Enumeration date
08/31/2015
Last updated
08/05/2020
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