Individual
DR. STEPHEN LON OKIYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
305 KNOBCONE DR UNIT 202, LOVELAND, CO 80538-5711
(310) 954-7492
Mailing address
123 AYLESWORTH HL NW, FORT COLLINS, CO 80523-0001
(970) 491-3387
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY12716
CA
103TC0700X
Clinical Psychologist
Primary
PSY12716
CA
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74310
MANAGED HEALTH NETWORK
CA
05
—
PSY127160
—
CA
Enumeration date
02/18/2007
Last updated
11/05/2012
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