Individual
DR. RANDALL KEI SUGAWARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1335 STANFORD AVENUE, EMERYVILLE, CA 94608
(510) 985-1199
(510) 985-1191
Mailing address
1909 9TH ST # B, BERKELEY, CA 94710-2104
(415) 533-4827
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/02/2023
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