Doctor Name: | DR. JEFFREY WINSTON CUMES |
NPI Number: | 1215982616 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | PSY388 |
Business Practice Address: | 81-6587 Mamalahoa Hwy Bldg C #23 Kealakekua, HI - 967508133 |
Business Phone Number: | 8083239510 |
Business Fax Number: | 8083239703 |
Mailing Address: | Po Box 1323, KEALAKEKUA |
State: | HI |
Postal Code: | 967501323 |
Phone Number: | 8083239510 |
Fax Number: | 8083239703 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |