Provider Demographics
NPI:1194945311
Name:TOGASHI, KOICHI (LP)
Entity type:Individual
Prefix:MR
First Name:KOICHI
Middle Name:
Last Name:TOGASHI
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15-8-605 OSUGA-CHO MINAMI-KU
Mailing Address - Street 2:
Mailing Address - City:HIROSHIMA-SHI
Mailing Address - State:HIROSHIMA
Mailing Address - Zip Code:7320821
Mailing Address - Country:JP
Mailing Address - Phone:8182-262-1251
Mailing Address - Fax:
Practice Address - Street 1:15-8-605 OSUGA-CHO, MINAMI-KU
Practice Address - Street 2:
Practice Address - City:HIROSHIMA-SHI
Practice Address - State:HIROSHIMA
Practice Address - Zip Code:7320821
Practice Address - Country:JP
Practice Address - Phone:8182-262-1251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-29
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000669102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst