Provider Demographics
NPI:1609282094
Name:GOKLANEY, HASMITA PATEL (PSY D)
Entity Type:Individual
Prefix:DR
First Name:HASMITA
Middle Name:PATEL
Last Name:GOKLANEY
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 CALLOWAY DR
Mailing Address - Street 2:UNIT 601
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2528
Mailing Address - Country:US
Mailing Address - Phone:661-589-1200
Mailing Address - Fax:661-589-7200
Practice Address - Street 1:3409 CALLOWAY DR
Practice Address - Street 2:UNIT 601
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2528
Practice Address - Country:US
Practice Address - Phone:661-589-1200
Practice Address - Fax:661-589-7200
Is Sole Proprietor?:No
Enumeration Date:2014-07-07
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27291103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSB35809OtherPSYCHOLOGICAL ASSISTANT