Organization
CORONADO PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIKA TANAKA PH.D. (FOUNDER)
(619) 554-0120
Entity
Organization
Contact information
Practice address
854 A AVE, CORONADO, CA 92118-2646
(619) 554-0120
Mailing address
854 A AVE, CORONADO, CA 92118-2646
(619) 554-0120
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
11/24/2020
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