TAKUYA MINAMI

BRATTLEBORO, VT
NPI1639297344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: VT  048.0135139)
Additional Taxonomies103T00000X Psychologist
(Licence: UT  5729247-2501)
Enumeration Date2007-03-27
Last Update Date2025-06-07
Business Address
TAKUYA MINAMI
175 WESTERN AVE
BRATTLEBORO, VT 05301-6950
Phone number: 802-416-0160
Mailing Address
TAKUYA MINAMI
175 WESTERN AVE
BRATTLEBORO, VT 05301-6950
Phone number: 802-416-0160