Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Purna Chandra Datta, PHD

Individual provider Clinical Psychologist · NPI 1275646036

Dr. Purna Chandra Datta, PHD is a Clinical Psychologist in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7510 Shoreline Dr Ste A-6
Stockton, CA 95219-5495
Phone: (209) 406-6817
Fax: (209) 477-2935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10808 (CA)

Record details

NPI number1275646036
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 16, 2006
Last updated in NPPESApril 12, 2012

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