Individual
YUKO YAMATO
Active
Individual
YUKO YAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042615A
IN
103T00000X
Psychologist
20042615A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201126920
—
IN
Enumeration date
03/22/2011
Last updated
09/11/2015
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