Doctor Name: | TAISHA KAAIALII |
NPI Number: | 1083073027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 387 |
Business Practice Address: | 550 Kunehi St Apt 206 Kapolei, HI - 967072069 |
Business Phone Number: | 2535760678 |
Business Fax Number: | |
Mailing Address: | 91-1634 Kamaaha Ave, KAPOLEI |
State: | HI |
Postal Code: | 967073269 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/18/2016 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |