Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist |
NPI | 1114512431 |
---|---|
Provider Name | Taro Luke Sekikawa |
First Address | Pittsburgh, PA 15213-2600 |
Second Address | Pittsburgh, PA 15213-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2021 |
Last Update Date | 30/03/2021 |