Provider Demographics
NPI:1740864362
Name:MITSUHASHI-ACS, YUKI J (PSYD)
Entity type:Individual
Prefix:DR
First Name:YUKI
Middle Name:J
Last Name:MITSUHASHI-ACS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:YUKI
Other - Middle Name:J
Other - Last Name:M. ACS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:220 SPRINGVIEW
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1912
Mailing Address - Country:US
Mailing Address - Phone:949-328-6909
Mailing Address - Fax:
Practice Address - Street 1:220 SPRINGVIEW
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-1912
Practice Address - Country:US
Practice Address - Phone:949-328-6909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY32427103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist