Doctor Name: | MARY A COCCETTI |
NPI Number: | 1033544044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 3348 |
Business Practice Address: | 411 Huku Lii Pl 302 Kihei, HI - 967537062 |
Business Phone Number: | 8088911411 |
Business Fax Number: | |
Mailing Address: | 2430 S Kihei Rd # 602, KIHEI |
State: | HI |
Postal Code: | 967538630 |
Phone Number: | 8088794191 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2013 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |