Organization
YOSHITARO OBA, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOSHITARO OBA PHD (PSYCHOLOGIST)
(816) 217-1254
Entity
Organization
Contact information
Practice address
10475 MEDLOCK BRIDGE RD STE 315, JOHNS CREEK, GA 30097-4446
(678) 935-9567
(678) 935-9568
Mailing address
10475 MEDLOCK BRIDGE RD STE 315, JOHNS CREEK, GA 30097-4446
(678) 935-9567
(678) 935-9568
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003194485A
—
GA
Enumeration date
09/16/2020
Last updated
04/08/2026
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