Doctor Name: | MR. TED L. POND |
NPI Number: | 1043514722 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, CSAC |
License Number: | LCSW 3680 |
Business Practice Address: | 76-6225 Kuakini Hwy B-105 Kailua Kona, HI - 967403211 |
Business Phone Number: | 8082382932 |
Business Fax Number: | 8083271809 |
Mailing Address: | Po Box 2154, KAILUA KONA |
State: | HI |
Postal Code: | 967452154 |
Phone Number: | 8082382932 |
Fax Number: | 8083271809 |
NPI Enumeration Date: | 01/10/2011 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW 3680 |
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 |