Individual
DR. PATRICE MITSURU YASUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4650 W SUNSET BLVD # 53, LOS ANGELES, CA 90027-6062
(323) 361-3817
Mailing address
4650 SUNSET BLVD, MS #53, LOS ANGELES, CA 90027
(323) 361-3817
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY10801
CA
Other
Enumeration date
04/01/2011
Last updated
08/25/2014
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