Individual
DR. TAKANORI KENNETH ENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1300 CRESTWOOD CT S, #1318, ROYAL PALM BEACH, FL 33411-4924
(305) 490-1498
Mailing address
1300 CRESTWOOD CT S, #1318, ROYAL PALM BEACH, FL 33411-4924
(305) 490-1498
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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