Individual
DR. DIMITRA A TAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
311 LAUREL ST, SAN DIEGO, CA 92101-1630
(619) 518-4994
Mailing address
311 LAUREL ST, SAN DIEGO, CA 92101-1630
(619) 518-4994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PSY 21903
CA
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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