Provider Demographics
NPI:1265828735
Name:CLEYMAET, KATSUKO NAGAYOSHI (DO)
Entity type:Individual
Prefix:
First Name:KATSUKO
Middle Name:NAGAYOSHI
Last Name:CLEYMAET
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KATSUKO
Other - Middle Name:
Other - Last Name:NAGAYOSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2929 E THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-8034
Mailing Address - Country:US
Mailing Address - Phone:602-470-5000
Mailing Address - Fax:602-470-5064
Practice Address - Street 1:5102 W CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85031-1703
Practice Address - Country:US
Practice Address - Phone:602-344-5011
Practice Address - Fax:602-655-1951
Is Sole Proprietor?:No
Enumeration Date:2015-04-12
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0200772084P0800X
AZ0120482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry