Provider Demographics
NPI:1326219320
Name:OANA, LEILANI KYOKO (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEILANI
Middle Name:KYOKO
Last Name:OANA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W JEFFERSON BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-5087
Mailing Address - Country:US
Mailing Address - Phone:214-941-1650
Mailing Address - Fax:214-941-8008
Practice Address - Street 1:1005 W JEFFERSON BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-5087
Practice Address - Country:US
Practice Address - Phone:214-941-1650
Practice Address - Fax:214-941-8008
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25454103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical