| Doctor Name: | DR. VICTORIA KAY HANES |
| NPI Number: | 1164727079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY 1234 |
| Business Practice Address: | 75-5751 Kuakini Hwy Ste 101a Kailua Kona, HI - 967401705 |
| Business Phone Number: | 8083265629 |
| Business Fax Number: | 8083295057 |
| Mailing Address: | 75-5751 Kuakini Hwy Ste 101a, KAILUA KONA |
| State: | HI |
| Postal Code: | 967401705 |
| Phone Number: | 8083265629 |
| Fax Number: | 8083295057 |
| NPI Enumeration Date: | 01/24/2011 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 1234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |