Individual
MS. DANA EMERSON BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2549 EASTBLUFF DR # 134, NEWPORT BEACH, CA 92660-3500
(608) 575-2111
(949) 220-7004
Mailing address
2549 EASTBLUFF DR # 134, NEWPORT BEACH, CA 92660-3500
(608) 575-2111
(949) 220-7004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24579
CA
Other
Enumeration date
09/09/2008
Last updated
11/17/2015
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