Individual
DR. ANANTHA LAKSHMI PANYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 876-5605
(916) 875-1005
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 876-5605
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY19551
CA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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