=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033030192
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TORI ALICIA TOGASHI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 436 CAROLINA DR
-----------------------------------------------------
City | OAKDALE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15071-9439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-894-8117
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 436 CAROLINA DR
-----------------------------------------------------
City | OAKDALE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15071-9439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-894-8117
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103G00000X
-----------------------------------------------------
Taxonomy Name | Clinical Neuropsychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------