Provider Demographics
NPI:1821029703
Name:OUCHI, YUKO (PSYD)
Entity Type:Individual
Prefix:DR
First Name:YUKO
Middle Name:
Last Name:OUCHI
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 1:1430 S GLAND AVE
Mailing Address - Street 2:#376
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-0000
Mailing Address - Country:US
Mailing Address - Phone:626-422-3032
Mailing Address - Fax:
Practice Address - Street 1:1274 CENTER COURT DR
Practice Address - Street 2:#112
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-3668
Practice Address - Country:US
Practice Address - Phone:626-422-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22434103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist