Individual
DR. LISA MIWAKO NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PYS.D.
Contact information
Practice address
3301 E. 12TH STREET, SUITE 259, OAKLAND, CA 94601-3424
(510) 269-9030
(510) 269-9031
Mailing address
3301 E. 12TH STREET, SUITE 259, OAKLAND, CA 94601
(510) 269-9039
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/09/2008
Last updated
03/23/2015
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