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Contact Information

SUSAN BAKOTA, ED.D.
9300 WILSHIRE BLVD
BEVERLY HILLS, CA90212-3213
 Phone: 310-478-7733
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SUSAN BAKOTA · (Female)

NPI Number 1861615924
Status Active
Credentials ED.D.
Entity Individual
Enumeration date 04/10/2007
Last updated 04/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY13135
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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