Individual
DR. BRUCE TOYOJI KAWASAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
820 S. DAMEN AVE (116B), CHICAGO, IL 60612
(312) 569-6494
Mailing address
40 E OAK ST, #1001, CHICAGO, IL 60611
(818) 400-2871
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY15778
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY15778
CA
103TC0700X
Clinical Psychologist
Primary
PSY15778
CA
103TH0100X
Health Service Psychologist
PSY15778
CA
103TP2701X
Group Psychotherapy Psychologist
PSY15778
CA
103TR0400X
Rehabilitation Psychologist
PSY15778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY15778
CALIFORNIA BOARD OF PSYCHOLOGY
CA
Enumeration date
03/08/2007
Last updated
08/02/2011
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