Us-japan Psychological Services | |
3750 Convoy St Ste 318 San Diego CA 92111-3741 | |
(858) 505-0085 | |
(858) 505-0095 |
Full Name | Us-japan Psychological Services |
---|---|
Speciality | Psychologist - Clinical |
Location | 3750 Convoy St Ste 318, San Diego, California |
Authorized Official Name and Position | Akiko Mikamo (PRESIDENT/CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8585050085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Us-japan Psychological Services 3750 Convoy St Ste 318 San Diego CA 92111-3741 Ph: (858) 505-0085 | Us-japan Psychological Services 3750 Convoy St Ste 318 San Diego CA 92111-3741 Ph: (858) 505-0085 |
NPI Number | 1942431804 |
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Provider Enumeration Date | 07/27/2009 |
Last Update Date | 07/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942431804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY15038 (California) | Primary |
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