| Organization Name: | GINA LEONG SAMALA, PSY.D, INC. |
| NPI Number: | 1255517652 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GINA LEONG SAMALA (PRESIDENT) |
| Mailing Address: | 95-1249 Meheula Pkwy Suite B30 Unit 195 Mililani |
| State: | HI US |
| Postal Code: | 967891779 |
| Phone Number: | 8086257448 |
| Fax Number: | 8086257448 |
| NPI Enumeration Date: | 01/15/2008 |
| NPI Last Update Date: | 01/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY-756 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |