Individual
DR. CRISSY TAMIKO MIYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5351C JAYCEE AVE, SUITE 1, HARRISBURG, PA 17112-2997
(717) 657-2080
Mailing address
5351C JAYCEE AVE, SUITE 1, HARRISBURG, PA 17112-2997
(717) 657-2080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016761
PA
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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