Individual
DR. DANIELLE RENE MIYASATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
150 SHORELINE HWY, BUILDING B, STE 22B, MILL VALLEY, CA 94941-3639
(415) 408-7488
(415) 408-7488
Mailing address
357 DOLAN AVE, MILL VALLEY, CA 94941-3823
(619) 251-3808
(415) 408-7488
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21712
CA
Other
Enumeration date
03/16/2009
Last updated
09/30/2013
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