Individual
DR. ELISA MIYAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2001 JUNIPERO SERRA BLVD STE 500, DALY CITY, CA 94014-3888
(650) 991-6135
Mailing address
2001 JUNIPERO SERRA BLVD STE 500, DALY CITY, CA 94014-3888
(650) 991-6135
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY31943
CA
Other
Enumeration date
09/24/2020
Last updated
01/14/2022
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