Provider Demographics
NPI:1699911909
Name:YAMAMOTO, KEVIN K (PSYD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:K
Last Name:YAMAMOTO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 CRESTLINE DR APT 6
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-3409
Mailing Address - Country:US
Mailing Address - Phone:415-216-5294
Mailing Address - Fax:
Practice Address - Street 1:88 CRESTLINE DR APT 6
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-3409
Practice Address - Country:US
Practice Address - Phone:415-216-5294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist