Provider Demographics
NPI:1811024748
Name:NAOI, TOMOE SHIRAKAWA (PSYD)
Entity Type:Individual
Prefix:MS
First Name:TOMOE
Middle Name:SHIRAKAWA
Last Name:NAOI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3775 BEACON AVE STE 224
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1466
Mailing Address - Country:US
Mailing Address - Phone:510-364-8105
Mailing Address - Fax:510-490-5360
Practice Address - Street 1:3775 BEACON AVE STE 224
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1466
Practice Address - Country:US
Practice Address - Phone:510-364-8105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23009103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical