Provider Demographics
NPI:1477874626
Name:UYEKAWA, COLLEEN TOSHIKO (LMFT)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:TOSHIKO
Last Name:UYEKAWA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24415 PASEO DE TORONTO
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-4939
Mailing Address - Country:US
Mailing Address - Phone:714-813-2778
Mailing Address - Fax:
Practice Address - Street 1:24415 PASEO DE TORONTO
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4939
Practice Address - Country:US
Practice Address - Phone:714-692-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-22
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 53273106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist