Ka Imi Pono, Llc is a Clinical in Honolulu, Hawaii. Ka Imi Pono, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ka Imi Pono, Llc is 1083891469. The last update date is 2008-01-28.
Ka Imi Pono, Llc's current location address is Po Box 161191, Honolulu, Hawaii. You can contact this provider via phone number 8083875307 and fax number 8082187884. The mailing address for Ka Imi Pono, Llc is Po Box 161191, Honolulu, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ka Imi Pono, Llc |
|---|---|
| Address | Po Box 161191, Honolulu, Hawaii |
| Phone Number | 8083875307 |
| Fax Number | 8082187884 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Tice Lynn Gail |
| Credentials | PSY.D. |
| Telephone Number | 8083875307 |
NPI Number Detail
| NPI Number | 1083891469 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | Po Box 161191 |
|---|---|
| City | Honolulu |
| State | Hawaii (HI) |
| Post Code | 968160925 |
| Phone Number | 8083875307 |
| Fax Number | 8082187884 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 899 |
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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 |
|---|---|---|---|
| 1225133481 | HI | PERSONAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ka Imi Pono, Llc by the Centers for Medicare & Medicaid Services?
The Ka Imi Pono, Llc has been assigned the NPI (National Provider Identifier) 1083891469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Ka Imi Pono, Llc is physically located?
The Ka Imi Pono, Llc is physically situated at the following address: Po Box 161191, Honolulu, HI, 968160925.
What is Ka Imi Pono, Llc'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 Ka Imi Pono, Llc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When did the Ka Imi Pono, Llc receive its 1083891469?
The Ka Imi Pono, Llc was issued its 1083891469 on 2008-01-28, which is the date when the organization was assigned this unique identifier.
When was the Ka Imi Pono, Llc's information last updated?
The Ka Imi Pono, Llc's information was last updated on 2008-01-28.
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