Doctor Name: | HARUMI IZUMI |
NPI Number: | 1063887891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 751168273 |
Business Practice Address: | 345 Kalama St B-1 Kailua, HI - 967342079 |
Business Phone Number: | 8082848473 |
Business Fax Number: | |
Mailing Address: | 345 Kalama St, B-1 KAILUA |
State: | HI |
Postal Code: | 96734 |
Phone Number: | 8082848473 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2015 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 751168273 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |