Doctor Name: | DR. TAMMIE NOELANI PERREIRA |
NPI Number: | 1093031262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 1178 |
Business Practice Address: | 41-1610 Kalanianaole Hwy Ste 104 Waimanalo, HI - 967951190 |
Business Phone Number: | 8085425624 |
Business Fax Number: | |
Mailing Address: | Po Box 810, WAIMANALO |
State: | HI |
Postal Code: | 967950810 |
Phone Number: | 8085425624 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2010 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1178 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |