MEDICARE: DR. ZACHARY DAVID TOKAR PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	P.08881	OH

General Provider Information

NPI Number	:	1134953524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY DAVID TOKAR PSYD

Provider Business Mailing Address
First Line	:	PSC 561 BOX 2953
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96310-0030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CHOME MISUMIMACHI, IWAKUNI, YAMAGUCHI 740-0025, JAPAN
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96310-0030
Country	:	US
Telephone Number	:	440-799-5242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	11/18/2025

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