Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 17103 | CA |
Y | 103G00000X | Clinical Psychologist | 17103 | CA |
Y | 103TC0700X | Clinical Psychologist | 17103 | CA |
N | 103TF0200X | Forensic Psychologist | 17103 | CA |
NPI | 1013254846 |
---|---|
Provider Name | Dr. Nancy Lois Tokar |
First Address | San Diego, CA 92128-5144 |
Second Address | San Diego, CA 92128-5144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2013 |
Last Update Date | 23/02/2015 |