Healthcare Provider Details

I. General information

NPI: 1033030192
Provider Name (Legal Business Name): TORI ALICIA TOGASHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S UNIVERSITY DR # 1083
FORT WORTH TX
76107-6524
US

IV. Provider business mailing address

1660 S UNIVERSITY DR # 1083
FORT WORTH TX
76107-6524
US

V. Phone/Fax

Practice location:
  • Phone: 909-894-8117
  • Fax:
Mailing address:
  • Phone: 909-894-8117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: