Individual
TAKUYA MINAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 WESTERN AVE, BRATTLEBORO, VT 05301-6950
(802) 416-0160
Mailing address
175 WESTERN AVE, BRATTLEBORO, VT 05301-6950
(802) 416-0160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
048.0135139
VT
103T00000X
Psychologist
5729247-2501
UT
Other
Enumeration date
03/27/2007
Last updated
06/07/2025
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