Individual
DR. SUSAN BAKOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
9300 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-3213
(310) 478-7733
Mailing address
9300 WILSHIRE BLVD STE 320, BEVERLY HILLS, CA 90212-3203
(310) 478-7733
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSY13135
CA
Other
Enumeration date
04/10/2007
Last updated
04/24/2018
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