| Organization Name: | ADRIANNA FLAVIN PHD LLC |
| NPI Number: | 1356796528 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADRIANNA MARIE FLAVIN (OWNER) |
| Mailing Address: | 7 Aewa Pl Unit 7 Makawao |
| State: | HI US |
| Postal Code: | 967688882 |
| Phone Number: | 8084465545 |
| Fax Number: | 8084421058 |
| NPI Enumeration Date: | 04/26/2016 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY1449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |