Organization
OSCAR F TANAKA PHD, PA
Active
Organization
OSCAR F TANAKA PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR F TANAKA PH.D. (PSYCHOLOGIST)
(404) 352-4348
Entity
Organization
Contact information
Practice address
2045 PEACHTREE RD NE, SUITE 150, ATLANTA, GA 30309-1414
(404) 352-4348
(404) 352-4334
Mailing address
2045 PEACHTREE RD NE, SUITE 150, ATLANTA, GA 30309-1414
(404) 352-4348
(404) 352-4334
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
002048
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000722389A
—
GA
Enumeration date
06/02/2008
Last updated
06/02/2008
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