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Organization
WATANABE PSYCHOLOGICAL SERVICES PLLC
Active
Organization
WATANABE PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIMIKO WATANABE PSYD (CLINICAL PSYCHOLOGIST)
(215) 550-1722
Entity
Organization
Contact information
Practice address
447 BROADWAY, NEW YORK, NY 10013-2562
(215) 550-1722
Mailing address
447 BROADWAY, 2ND FLOOR #1407, NEW YORK, NY 10013-2562
(215) 550-1722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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