Samantha Tavares is a Clinical in Honolulu, Hawaii. Samantha Tavares practices all healthcare services and medical treatments related to Clinical. The NPI Number for Samantha Tavares is 1609097781. The last update date is 2021-06-10.
Samantha Tavares's current location address is Po Box 11215, Honolulu, Hawaii. You can contact this provider via phone number 8083423377. The mailing address for Samantha Tavares is Po Box 11215, Honolulu, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samantha Tavares |
|---|---|
| Address | Po Box 11215, Honolulu, Hawaii |
| Phone Number | 8083423377 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1609097781 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2021-06-10 |
Provider Mailing Address Detail
| Address | Po Box 11215 |
|---|---|
| City | Honolulu |
| State | Hawaii (HI) |
| Post Code | 968280215 |
| Phone Number | 8083423377 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 589 |
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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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What is the unique identifier code issued to Samantha Tavares by the Centers for Medicare & Medicaid Services (CMS)?
The Samantha Tavares has been assigned the NPI (National Provider Identifier) 1609097781. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Samantha Tavares located?
The Samantha Tavares is located at Po Box 11215, Honolulu, HI 968280215.
What is Samantha Tavares's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Samantha Tavares's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Samantha Tavares receive the assignment of its 1609097781 from the Centers for Medicare & Medicaid Services?
The Samantha Tavares was issued its 1609097781 by the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date were the details related to Samantha Tavares most recently updated or revised?
The information pertaining to Samantha Tavares, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-10.