Organization
ADJUSTED CROWN PSYCHOLOGICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LA TANYA ALICIA TAKLA EDD (CLINICAL DIRECTOR)
(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
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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