| Organization Name: | SAORI MARUYAMA, PH.D. LLC |
| NPI Number: | 1114157922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAORI MARUYAMA (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 10475 Medlock Bridge Rd Building 300, Suite 315 Johns Creek |
| State: | GA US |
| Postal Code: | 300974433 |
| Phone Number: | 6789359567 |
| Fax Number: | 6789359568 |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 07/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY003255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |