Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1398 | LA |
Y | 103T00000X | Psychologist | 1398 | LA |
NPI | 1013266071 |
---|---|
Provider Name | Dr. Melissa Miyuki Kunimatsu |
First Address | New Orleans, LA 70119-6931 |
Second Address | New Orleans, LA 70119-4760 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2012 |
Last Update Date | 04/11/2021 |