Organization Name: | VAL J UMPHRESS PHD LLC |
NPI Number: | 1003146374 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VAL J UMPHRESS (MEMBER) |
Mailing Address: | 98-211 Pali Momi St Suite 810 Aiea |
State: | HI US |
Postal Code: | 967014301 |
Phone Number: | 8084889288 |
Fax Number: | 8084889288 |
NPI Enumeration Date: | 01/07/2010 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY-611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |