Doctor Name: | DR. COLE LEW |
NPI Number: | 1003866906 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PSY12357 |
Business Practice Address: | 459 Patterson Rd. Vapihcs Honolulu, HI - 96819 |
Business Phone Number: | 8084330608 |
Business Fax Number: | 8084330392 |
Mailing Address: | 459 Patterson Rd, Vapihcs HONOLULU |
State: | HI |
Postal Code: | 96819 |
Phone Number: | 8084330608 |
Fax Number: | 8084330392 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY12357 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |