Provider Demographics
NPI:1083861009
Name:AKAHORI, MICHIKO (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHIKO
Middle Name:
Last Name:AKAHORI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MICHIKO
Other - Middle Name:AKAHORI
Other - Last Name:CAREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:475 ALBERTO WAY STE 170
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5481
Mailing Address - Country:US
Mailing Address - Phone:408-537-4703
Mailing Address - Fax:408-550-1879
Practice Address - Street 1:475 ALBERTO WAY STE 170
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-5481
Practice Address - Country:US
Practice Address - Phone:408-537-4703
Practice Address - Fax:408-550-1879
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 25692103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical