Mavis A Mizumoto is a Clinical in Honolulu, Hawaii. Mavis A Mizumoto practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mavis A Mizumoto is 1396895900. The last update date is 2017-01-30.
Mavis A Mizumoto's current location address is 2603 Peter St, Honolulu, Hawaii. You can contact this provider via phone number 8087352378. The mailing address for Mavis A Mizumoto is 2603 Peter St, Honolulu, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mavis A Mizumoto |
|---|---|
| Address | 2603 Peter St, Honolulu, Hawaii |
| Phone Number | 8087352378 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1396895900 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
| Address | 2603 Peter St |
|---|---|
| City | Honolulu |
| State | Hawaii (HI) |
| Post Code | 968162013 |
| Phone Number | 8087352378 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY-481 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 040501-01 | HI | -- | |
| PSY481-01 | HI | MDX | |
| PSY481-01 | HI | DESERT MUTUAL | |
| 192907 | HI | HMN | |
| PSY481-01 | HI | CIGNA | |
| 192907 | HI | HMA | |
| C044590-8 | HI | HMSA | |
| 7919184 | HI | AETNA | |
| 192907 | HI | SUMMERLIN | |
| PSY481-01 | HI | UHC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mavis A Mizumoto by the Centers for Medicare & Medicaid Services?
The Mavis A Mizumoto has been issued the NPI (National Provider Identifier) 1396895900, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mavis A Mizumoto's facilities are situated?
The facilities of Mavis A Mizumoto are physically located at the following address: 2603 Peter St, Honolulu, HI, 968162013.
What is Mavis A Mizumoto's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mavis A Mizumoto is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396895900 to Mavis A Mizumoto?
The Mavis A Mizumoto received its 1396895900 assignment from the Centers for Medicare & Medicaid Services on 2007-01-12.
When was the information pertaining to Mavis A Mizumoto most recently updated or revised?
The details related to Mavis A Mizumoto, including its address, specialty, and other relevant information, were last updated or revised on 2017-01-30.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY