Doctor Name: | DR. STEPHANIE BLAZAK NAPOLI |
NPI Number: | 1346459435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY23336 |
Business Practice Address: | 23 Ohai Alii Place Kaunakakai, HI - 967480000 |
Business Phone Number: | 8086461497 |
Business Fax Number: | 8086461497 |
Mailing Address: | Po Box 1071, 23 Ohai Alii Place KAUNAKAKAI |
State: | HI |
Postal Code: | 967481071 |
Phone Number: | 8086461497 |
Fax Number: | 8086461497 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 03/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY23336 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |