Doctor Name: | MICHELLE DIANE STAROSKY |
NPI Number: | 1447407937 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | IMF 41962 |
Business Practice Address: | 14-803 Seaview Rd Pahoa, HI - 96778 |
Business Phone Number: | 8087562206 |
Business Fax Number: | |
Mailing Address: | 15-2700 Moano St, PAHOA |
State: | HI |
Postal Code: | 967789025 |
Phone Number: | 8089650450 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 08/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMF 41962 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |