Individual
DR. RONALD KENJI MIYATAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 WEST ST STE 29, KEENE, NH 03431-2458
(603) 357-1180
(603) 357-1185
Mailing address
222 WEST ST STE 29, KEENE, NH 03431-2458
(603) 357-1180
(603) 357-1185
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1128
NH
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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