Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mimiko Watanabe

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528437704

Mimiko Watanabe is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS019468 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528437704
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2015
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

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