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NPI Code Detail

MEDICARE: JULI CHIYOKO HISHIDA PHD

MEDICARE: JULI CHIYOKO HISHIDA PHD
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
1103TC1900XCounseling Psychologist40116TX

General Provider Information

NPI Number : 1497365027
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULI CHIYOKO HISHIDA PHD
Provider Business Mailing Address
First Line : 6339 CHARLOTTE PIKE UNIT C186
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-2926
Country : US
Telephone Number : 865-383-0152
Fax Number :
Provider Business Practice Location Address
First Line : 8350 N CENTRAL EXPY STE 1275
Second Line :
City : DALLAS
State : TX
Zip : 75206-1614
Country : US
Telephone Number : 469-818-7198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2020
Last Update Date : 11/18/2025

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