Provider Demographics
NPI:1356554695
Name:AKAMATSU, T. JOHN (PHD)
Entity type:Individual
Prefix:DR
First Name:T.
Middle Name:JOHN
Last Name:AKAMATSU
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT OF PSYCHOLOGY
Mailing Address - Street 2:KENT STATE UNIVERSITY
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44242-0001
Mailing Address - Country:US
Mailing Address - Phone:330-672-2048
Mailing Address - Fax:330-672-7932
Practice Address - Street 1:PSYCHOLOGY DEPT
Practice Address - Street 2:KENT STATE UNIVERSITY
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44242-0001
Practice Address - Country:US
Practice Address - Phone:330-672-2048
Practice Address - Fax:330-672-7932
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1740103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical