Dr. Mitsuaki Kayne Ohata, Ph.D.
Psychologist, Clinical in Stockton, CA. Individual provider (NPI-1).
NPI number1679763510
StatusActive
Last updated in NPPESDec 30, 2021
Details
- NPI
- 1679763510
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mitsuaki Kayne Ohata
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2007
- Last updated
- Dec 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY21574 | CA | Yes |
Practice location
1305 Tommydon StStockton, CA 95210-3364
Phone 209-476-3876
Mailing address
1305 Tommydon StStockton, CA 95210-3364
Phone 209-476-3876
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