Organization
AYAMA PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISSA S YAMASAKI PH.D. (LICENSED PSYCHOLOGIST/OWNER)
(814) 470-1868
Entity
Organization
Contact information
Practice address
720 PIKE ST, LEMONT, PA 16851
(814) 470-1868
Mailing address
80 CORNFIELD LN, PORT MATILDA, PA 16870-8335
(814) 470-1868
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016376
PA
103TC1900X
Counseling Psychologist
PS018048
PA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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