Doctor Name: | DANIEL MACHADO |
NPI Number: | 1104254895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2970 Kele St Suite 203 Lihue, HI - 967661823 |
Business Phone Number: | 8082455914 |
Business Fax Number: | |
Mailing Address: | 91-1841 Fort Weaver Rd, EWA BEACH |
State: | HI |
Postal Code: | 967061909 |
Phone Number: | 8086813500 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2013 |
NPI Last Update Date: | 10/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |