Healthcare Provider Details

I. General information

NPI: 1013254846
Provider Name (Legal Business Name): NANCY LOIS TOKAR PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NANCY LOIS PUGH PHD

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 SANTA FE DR STE 200
ENCINITAS CA
92024-5137
US

IV. Provider business mailing address

351 SANTA FE DR STE 200
ENCINITAS CA
92024-5137
US

V. Phone/Fax

Practice location:
  • Phone: 858-279-1223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number17103
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number17103
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number17103
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number17103
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: