Doctor Name: | MRS. JIZELLE VICENTA MALIA YATES RICE |
NPI Number: | 1053546085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSLTPRAC (SLP) CCC-S |
License Number: | |
Business Practice Address: | 81-6587 Mamalahoa Hwy. Suite C-203 Kealakekua, HI - 96750 |
Business Phone Number: | 8089872451 |
Business Fax Number: | 8557461544 |
Mailing Address: | P.o. Box 928, CAPTAIN COOK |
State: | HI |
Postal Code: | 96704 |
Phone Number: | 8089872451 |
Fax Number: | 8557461544 |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 02/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |