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NPI Code Detail

MEDICARE: AKIRA SUZUKI SR. PH.D.

MEDICARE: AKIRA SUZUKI SR. PH.D.
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
1103TC0700XClinical PsychologistPSY11287CA

General Provider Information

NPI Number : 1821138074
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKIRA SUZUKI SR. PH.D.
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6601
Fax Number : 661-868-6666
Provider Business Practice Location Address
First Line : 2525 N CHESTER AVE
Second Line : SUITE C
City : BAKERSFIELD
State : CA
Zip : 93308-1770
Country : US
Telephone Number : 661-868-1835
Fax Number : 661-868-1714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 04/09/2015

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