Doctor Name: | MS. LAURA AIKO WHEELER |
NPI Number: | 1437116373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | LSW-21 |
Business Practice Address: | 1 Jarrett White Rd Tamc, HI - 968595001 |
Business Phone Number: | 8084338575 |
Business Fax Number: | |
Mailing Address: | 3602 Woodlawn Terrace Pl, HONOLULU |
State: | HI |
Postal Code: | 968221475 |
Phone Number: | 8083935106 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LSW-21 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |