| Doctor Name: | DR. CAROLYNNE B. MANKA |
| NPI Number: | 1285772764 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSY6464 |
| Business Practice Address: | 4-1579 Kuhio Hwy Ste 203 Kapaa, HI - 967461859 |
| Business Phone Number: | 8088219454 |
| Business Fax Number: | 8088219454 |
| Mailing Address: | 4-1579 Kuhio Hwy Ste 203, KAPAA |
| State: | HI |
| Postal Code: | 967461859 |
| Phone Number: | 8088219454 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 09/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY6464 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |