Provider Demographics
NPI:1003106485
Name:YOKOYAMA, THOMAS W (MA, LCPC, LPC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:W
Last Name:YOKOYAMA
Suffix:
Gender:M
Credentials:MA, LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 S GULPH RD STE 260
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3739
Mailing Address - Country:US
Mailing Address - Phone:253-254-9511
Mailing Address - Fax:484-468-1412
Practice Address - Street 1:357 S GULPH RD STE 260
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3739
Practice Address - Country:US
Practice Address - Phone:253-254-5911
Practice Address - Fax:484-468-1412
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007830101Y00000X
PAPC0149935101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor