MICHAEL MIYASATO

REDWOOD CITY, CA
NPI1942640081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY29831)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-07-03
Last Update Date2023-05-18
Business Address
MICHAEL MIYASATO
617 VETERANS BLVD STE 204
REDWOOD CITY, CA 94063-1419
Phone number: 510-671-0637
Mailing Address
MICHAEL MIYASATO
617 VETERANS BLVD STE 107
REDWOOD CITY, CA 94063-1404
Phone number: