Kawasawa, Bruce Toyoji
Kawasawa, Bruce Toyoji is an individual health care provider with primary practice located at 820 S. Damen Ave (116B) , Chicago IL 60612. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kawasawa, Bruce Toyoji can be contacted via phone (312) 569-6494.Contact Information
Primary practice address
820 S. Damen Ave (116B)
Chicago IL 60612
Phone: (312) 569-6494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY15778 | California |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY15778 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15778 | California |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | PSY15778 | California |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSY15778 | California |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PSY15778 | California |
Profile Details
| NPI number | 1720119316 |
|---|---|
| LBN Legal business name | Kawasawa, Bruce Toyoji |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Aug 2nd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720119316 | NPPES |
| California | Other | PSY15778 | CALIFORNIA BOARD OF PSYCHOLOGY |
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