Provider Demographics
NPI:1437931987
Name:OHASHI, KYOKO
Entity Type:Individual
Prefix:
First Name:KYOKO
Middle Name:
Last Name:OHASHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-8011
Mailing Address - Country:US
Mailing Address - Phone:617-417-8404
Mailing Address - Fax:
Practice Address - Street 1:535 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-8011
Practice Address - Country:US
Practice Address - Phone:617-417-8404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional