Individual
AKIKO MOTOMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
401 SHADY AVE, B 202, PITTSBURGH, PA 15206-4409
(412) 573-9851
Mailing address
105 OVERDALE RD, PITTSBURGH, PA 15221-4431
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS016870
PA
103TC0700X
Clinical Psychologist
Primary
PS016870
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS016870
PA
Other
Enumeration date
11/10/2010
Last updated
12/15/2011
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