Doctor Name: | SARA PETRINA JOY MELENDEZ |
NPI Number: | 1033455597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 234 Waianuenue Ave Suite 215 Hilo, HI - 967202418 |
Business Phone Number: | 8088955603 |
Business Fax Number: | |
Mailing Address: | 200 Kanoelehua Ave, Suite 103 HILO |
State: | HI |
Postal Code: | 967204648 |
Phone Number: | 8088955603 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2013 |
NPI Last Update Date: | 01/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |