Individual
DR. MEGUMI OMONISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21255
NY
103T00000X
Psychologist
6987
OH
Other
Enumeration date
04/19/2011
Last updated
04/02/2018
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