DR. Risa Takara, PH.D.

NPI #1093390387 in Orem, Utah

Provider Information

NPI Number: 1093390387
Entity Type: Individual
Name: DR. Risa Takara, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Mar 17, 2021
Last Updated: Jul 16, 2021

Practice Location

Address: 363 E 1200 S
City: Orem
State: Utah
ZIP Code: 84058-6904
Phone: (801) 224-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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