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Michael Miyasato
Clinical Psychologist in Redwood City, California
NPI 1942640081

Michael Miyasato is a Clinical Psychologist based in Redwood City, CA and is specialized in Clinical. Michael Miyasato practices in Redwood City, CA. The NPI Number for Michael Miyasato is 1942640081 and holds a License No. (California).

The current practice location address for Michael Miyasato is 617 Veterans Blvd Ste 204, Redwood City, CA and can be reached out via phone at 510-671-0637.

Location: 617 Veterans Blvd Ste 204, Redwood City, CA, 94063-1404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942640081
Provider Name
Michael Miyasato
Credential
Provider Entity Type
Individual
Gender
Male
Address
617 Veterans Blvd Ste 204, Redwood City, CA, 94063-1404
Phone Number
510-671-0637
Fax Number
Provider Enumeration Date
07/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
617 Veterans Blvd Ste 204
City
Redwood City
State
California
Zip
94063-1419
Phone Number
510-671-0637
Fax Number
person
Provider Business Mailing Address Details
Address
617 Veterans Blvd Ste 204
City
Redwood City
State
California
Zip
94063-1419
Phone Number
510-671-0637
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY29831 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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