Doctor Name: | TERRY ANN T FUJIOKA |
NPI Number: | 1245265412 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY 464 |
Business Practice Address: | 79-7460 Mamalahoa Hwy Suite 110 Kealakekua, HI - 967507917 |
Business Phone Number: | 8083240434 |
Business Fax Number: | 8083240129 |
Mailing Address: | 79-7460 Mamalahoa Hwy, Suite 110 KEALAKEKUA |
State: | HI |
Postal Code: | 967507917 |
Phone Number: | 8083240434 |
Fax Number: | 8083240129 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 464 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |