MEDICARE: ARTHUR N OJIONUKA 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
1	103TA0700X	Adult Development & Aging Psychologist	38348	TX
2	103TB0200X	Cognitive & Behavioral Psychologist	38348	TX
3	103TC2200X	Clinical Child & Adolescent Psychologist	38348	TX
4	103TF0000X	Family Psychologist	38348	TX
5	103TF0000X	Family Psychologist
6	103TP0814X	Psychoanalysis Psychologist	38348	TX
7	103TP2701X	Group Psychotherapy Psychologist	38348	TX
8	103TC0700X	Clinical Psychologist	38348	TX

General Provider Information

NPI Number	:	1376181404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR N OJIONUKA PHD

Provider Business Mailing Address
First Line	:	807 E HANSON ST
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4622
Country	:	US
Telephone Number	:	281-592-9222
Fax Number	:	281-592-5041

Provider Business Practice Location Address
First Line	:	807 E HANSON ST
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-4622
Country	:	US
Telephone Number	:	281-592-9222
Fax Number	:	281-592-5041

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

Provider Enumeration Date	:	12/19/2019
Last Update Date	:	12/19/2019

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