| Doctor Name: | DR. T NALANI ARCHIBEQUE |
| NPI Number: | 1306062336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 901 |
| Business Practice Address: | 1043 Makawao Ave 202b Makawao, HI - 96768 |
| Business Phone Number: | 8085736666 |
| Business Fax Number: | 8088760077 |
| Mailing Address: | Po Box 880454, PUKALANI |
| State: | HI |
| Postal Code: | 96788 |
| Phone Number: | 8085736666 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 901 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |