Individual provider · Type 1 NPI

Krista Basile Tabuenca

Clinical Psychologist · Los Angeles, CA

NPI number 1255813762 Active

Practice location

300 Ucla Medical Plz Ste 1100
Los Angeles, CA 90095-8549

Mailing address

5767 W Century Blvd
Los Angeles, CA 90095-5631

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XPSY34041 (CA)
Clinical Psychologist Primary 103TC0700XPSY34041 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1255813762

Krista Basile Tabuenca's National Provider Identifier is 1255813762, issued on Aug 30, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 15, 2024.